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NEW BUSINESS ONLY

All applications are Microsoft Word fill-in forms and are password protected. You may complete the form on-line, save it on your computer and then e-mail it to THIE as an attachment. If you prefer, you may print it, complete it by hand, and send by postal service, fax, or scan and send as an email attachment. The Underwriting department fax number is 512/451-3101.

Please complete the Cover Application form one time for all lines of business. Some of the information fields in this form are duplicated in the forms for specific lines of business. You do not need to enter duplicate information, as long as all questions are answered.

IMPORTANT: In a cover email with your application, let us know the Bid Date and the Need By Date.

SPECIAL INSTRUCTIONS BY LINE OF BUSINESS

Auto Application
Please include all vehicles on the vehicle list. If you are choosing different types of coverage for each vehicle, please be sure to enter the coverage that you want for each vehicle. See the two examples for guidance. The Drivers’ Data Worksheet is a separate form. Please be sure to complete and submit with the application. If you have any questions or need help with this application, please contact either Robert Babcock at rbabcock@thie.com or 800/792-0060, ext. 542 or Tricia O’Neal at toneal@thie.com or 800/792-0060, ext. 519.

GL Application
Please include all locations on the location list. You may want to print the Excel spreadsheet Liability Supplement Class Codes and Descriptions as a reference to help you complete this list. If you have any questions or need help with this application, please contact either Robert Babcock at rbabcock@thie.com or 800/792-0060, ext. 542 or Tricia O’Neal at toneal@thie.com or 800/792-0060, ext. 519.

HPL Application
Please read all the sections carefully and be sure to include the last page, Profile of Staff Doctors and Policy Limits. If you have any questions or need help with this application, please contact either Robert Babcock at rbabcock@thie.com or 800/792-0060, ext. 542 or Tricia O’Neal at toneal@thie.com or 800/792-0060, ext. 519.

WC Application
Please complete Section III of the Worksheet carefully. There are extra lines if you need them. Section IV contains a more complete list of Codes and Job Descriptions. If you have any questions or need help with this application, please contact either Robert Babcock at rbabcock@thie.com or 800/792-0060, ext. 542 or Tricia O’Neal at toneal@thie.com or 800/792-0060, ext. 519.