The following form is provided to you for making changes or requests on your existing policies. By submitting this form you understand that no coverage or premium adjustment of any kind is bound until you receive written notice from us.
Insurance products are offered through the following insurers: Andover Companies (Andover, MA); Berkshire Hathaway GUARD (Wilkes-Barre, PA); AmTrust Insurance (New York, NY); Chubb Group (Warren, NJ); Great American Insurance Company (Cincinnati, OH); The Hanover Insurance Group, Inc. (Worcester, MA); Harleysville Insurance (Harleysville, PA); Philadelphia Indemnity Insurance Company (Bala Cynwyd, PA); Stillwater (Jacksonville, FL); The Hartford Insurance Group, Inc. (Hartford, CT); The Travelers Indemnity Company (Hartford, CT); Utica National Insurance Group (New Hartford, NY); and other unaffiliated insurers.
Insurance services are provided by an independent insurance agency. Mondial Agency and its producers are licensed in the states where services are offered. License numbers are available upon request. Availability, eligibility, and coverages may vary by state. Not all products are available in all states.