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Applications

Many AEGIS insurance application forms can be downloaded below. Others are available online or through the underwriter, as indicated.

The new online application for Excess Liability and Workers' Compensation policy renewals is being rolled out in 2010 and 2011. Applications for member companies will be posted six months prior to the renewal date. Read more about it here:

Some PDF-based applications may open in a new window. To prevent this from happening in Microsoft Internet Explorer, right-click on the link and select Save Target As. When prompted, select the appropriate location to save the file so that you can open and complete the application at your convenience.

  • Excess Liability

Applications for Excess Liability policy renewals are available online under MY AEGIS >> Submit An Application. Applications for member companies will be posted six months prior to the renewal date.

Applications for new Excess Liability policies, including Medical Services Supplemental Coverage, are available through Brian Madden by e-mail or by phone at 201.508.2808.

  • Excess Liability (Related Energy) Applications

Applications for new and renewal Excess Liability (Related Energy) policies are available through Brian Madden by e-mail or by phone at 201.508.2808.

  • Excess Workers' Compensation

The new online application for Excess Liability and Workers' Compensation policy renewals is being rolled out in 2010 and 2011. Applications for member companies will be posted six months prior to the renewal date. Read more about it here:

Applications for new Excess Workers' Compensation policies and for Aircraft Supplemental are available through Brian Madden by e-mail or by phone at 201.508.2808.