Effective Date of Coverage

Submission may be emailed to the Plan Administrator. A copy of the deposit check MUST be included in the emailed submission. Check may be mailed. Coverage is effective the later of the complete submission receipt date or receipt date of deposit check.

A complete submission consists of:

• Completed Acord Application (include TMK)
• Replacement Cost Estimator (RCE) – version HPIA 1006 0915
• Supplemental Information and Checklist
• Two (2) Clear and Bright Color Photos (front and rear of dwelling)
• One (1) Clear and Bright Color Photo – water catchment tank (if applicable)
• Homeowners/Dwelling Fire Supplemental Questionnaire
• Signed Acknowledgment of Hurricane and Flood Coverage Exclusion
• Copy of Deposit Premium ($250 deposit or payment in full is required)
• Declinations by two (2) insurance companies (provide insurance company names)