IA&B Home Delaware Maryland Pennsylvania
 

DE Personal Umbrella Forms

Application

Rates


New Business Submission Process 

  • Verify ALL questions are answered and the application is signed/dated by the applicant and producer before submitting. If not, the application will be returned.

  • Any changes made to an answer on the application MUST be initialed by the applicant.  If not, the application will be returned.  

  • Verify that the application has been quoted correctly. If you should have any rating questions, please contact IA&B's Member Service Center toll free at (800) 998-9644 or locally at (717) 795-9100, option 0 or e-mail.

  • Verify that the Requested Effective Date is on the application. (Note we are only able to back date 13 calendar days from date received.)

  • Verify that the printed copy of the application contains the current edition name/date on every page of the printed application. RLI will not accept if this information is not showing at the bottom of the pages.

  • Include full premium payment with all submissions. Checks should be made payable to IA&B Service Group, Inc.

  • Mail application to IA&B Service Group, Inc., 5050 Ritter Road, Mechanicsburg, PA 17055-4879.