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Complete Annual Renewal

Let's ensure you have the right insurance in place.

It’s time to review your insurance.

There’s one guarantee in life and business. Things change. Our annual review is an opportunity to compare your existing coverage against your current needs to ensure your insurance remains appropriate to your situation.

Contact Us

888-366-1000
services@seltzergrp.com

Let’s review your insurance needs.

It’s important that we review your insurance needs to ensure you have the proper insurance coverage in place.

Step 1 of 9

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Client Information
Your Name*
First Last
Your Email*
Your Phone Number
What insurance do you currently have with us?*
- Personal Insurance
- Business Insurance
Home Address*
Street Address Address Line 2 City State ZIP Code
Company Name*
Company Address*
Street Address Address Line 2 City State ZIP Code
Total Annual Sales*
Total Number of Employees*

Your Home(s)
Please think back over the last year when answering these questions.
Have you remodeled or made any major updates to an existing home(s)?*
- Yes
- No
(New roof, furnace, or electrical system)
Have you added a home security system?*
- Yes
- No
Have you started a home-based business?*
- Yes
- No
Have you purchased a secondary residence, including a condo or timeshare?*
- Yes
- No
Have you started participating as a service provider in the home sharing economy?*
- Yes
- No
(Airbnb, VRBO)
Please explain any changes to your home.

Your Automobiles and other “Vehicles”
Please think back over the last year when answering these questions.
Have you added an automobile, watercraft, or recreational vehicle?*
- Yes
- No
Have you added any new drivers?*
- Yes
- No
Have you added a vehicle provided by an employer?*
- Yes
- No
Have you had a child leave home to attend school or no longer considered a dependent?*
- Yes
- No
Have you started participating as a service provider in the ridesharing economy?*
- Yes
- No
(Uber, Lyft, Sidecar)
Please explain any changes to your automobiles and "other" vehicles.

Your Other Life Events
Please think back over the last year when answering these questions.
Have you added or changed ownership of any assets including titles, trusts or LLCs?*
- Yes
- No
Have you hired domestic help, nanny or housekeeper, either full or part-time?*
- Yes
- No
Have you purchased jewelry, art or other valuables that need to be added? Are there items that need to be changed or deleted?*
- Yes
- No
Have you had a significant change in net worth?*
- Yes
- No
Have you accepted a position on a board(s) of a profit or nonprofit organization(s)?*
- Yes
- No
Please explain any changes.

Your Business Structure
Please think back over the last year when answering these questions.
Have you changed the ownership structure of your business?*
- Yes
- No
Have you added new or changed your existing operations and/or products?*
- Yes
- No
Have you begun to buy supplies or sell your products overseas?*
- Yes
- No
Are you operating out of any new locations or have you closed locations?*
- Yes
- No
Please explain any changes to your business structure.

Your Personal Liability
Please think back over the last year when answering these questions.
Have you acquired, leased or sold a building, business property and/or equipment?*
- Yes
- No
Have there been any improvements and/or significant alterations to your building?*
- Yes
- No
Has your Inventory level changed significantly?*
- Yes
- No
Have you purchased, leased or sold any Vehicles?*
- Yes
- No
Please explain any changes to your personal liability.

Your Income Protection
Please think back over the last year when answering these questions.
Have your Businesses revenues changed by more than 10% since last year?*
- Yes
- No
Do you rely on a single supplier for more than 50% of your materials?*
- Yes
- No
Do you rely on a single buyer for more than 50% of your sales?*
- Yes
- No
Please explain any changes to your income protection.

Your Employees & Professional Liability Exposure
Please think back over the last year when answering these questions.
Do you have employees that regularly travel out of state or overseas for business?*
- Yes
- No
Do any employees use their own personal cars for business purposes?*
- Yes
- No
Do any Employees work outside your home state or work from their home regularly?*
- Yes
- No
Do you obtain Certificate of Insurance from all subcontractors, vendors and 1099 workers?*
- Yes
- No
Are any of the owners a member of any board of directors whether for profit or not?*
- Yes
- No
Please explain any changes to your employees and personal liability exposure.

Additional Protection
We're a full service agency providing solutions for personal, business, employee benefits and specialty Insurance needs for our clients.
Would you like to discuss any additional insurance protection with our firm?*
- Yes
- No
Confirmation
Your initials*
This field is for validation purposes and should be left unchanged.
This field is for validation purposes and should be left unchanged.

The next step is easy

call 888-366-1000

The next step is easy, call 888-366-1000 Or, Contact Us

Our Approach

At The Seltzer Group, we focus on you. Our team is here to listen to and champion your unique needs by creating a custom insurance solution that balances risk, coverage and value.

Our philosophy is not about simply pushing the lowest-priced policies to our customers as fast as possible; we have dedicated ourselves to becoming true problem solvers.

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Our Mission

We strive to provide excellent insurance and related services to individuals, institutions and businesses.

We know that keeping what’s important to you protected brings peace-of-mind. At the end of that day, that’s our main goal.

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Who We Are
Our Unique Process
- Our Process
- Seltzer Strong Values
For Businesses
For People
Join Us!
- Why Join Our Team?
- Open Positions
Self-Service
News & Insights
Testimonials
Get A Quick Quote
Contact

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