Get a Quote

Let the IIAT Advantage E&O Team advocate for you.

Please complete the entire form and click Submit. An IIAT Advantage E&O representative will contact you within 2 business days.

Agency Name

Is your agency currently an IIAT member?

First Name

Last Name

Work Phone

Address

City

State

Zip Code

Year Agency Was Established:

Has the Agency Principal(s) been licensed more than 3 years?

Premium Volume Past 12 months / Projected Premium Volume

P&C Commission Past 12 Months / Projected Commission Income:

Life, A&H Commission Past 12 Months/ Projected Commission Income:

% Commercial Lines

% Personal Lines

% Life & Health

Policy Effective Date

Agency Staff Size

Current Limits Carried

Deductible

Premium

Who is your current E&O carrier?

Have you had any claims in the past 5 years?

Any specific coverage needs or concerns you'd like addressed?

For questions, please contact:

E&O Advocate