Insuring Caregiving Organizations

Placing Quoted Business

insurance applications for home healthcare, hospice, and senior living facilitiesWe look forward to working with you!

Below are the applications and forms that your underwriter may request you complete in order to obtain the most competitive terms for your clients.

 

Workers Compensation Now Available!

 


Glatfelter Insurance Group will be making a transition to electronic delivery of all policies, endorsements and invoices for all business placed with GHP, GPP and Non-Regional Director VFIS. Any accounts written through GSB, GRP, New York Safety Groups 491, 497 or 90 and VFIS Regional Director states will NOT be available electronically.


Contact Client Services at: csapps@glatfelters.com with questions or to update your agency’s contacts.

Applications

Name Link Date
Home Health Care Agency Application View Download 07/19/2017
Home Health Care Aide (non-medical) Application View Download 05/19/2017
Hospice Application View Download 05/19/2017
Occupational Accident/Business Travel Accident Supplement View Download 05/31/2016
Senior Living Application View Download 05/18/2017
  Workers’ Compensation Supplemental Application for Senior Living (Available in AL, AZ, CA, CO, CT, FL, GA, IL, MD, ME, MS, MT, NC, NE, NH, NJ, NV, NY, OK, PA, SC, SD, TX, UT and VA) View Download 09/28/2017
  Workers’ Compensation Supplemental Application for Hospice & Home Healthcare (Available in AL, AZ, CA, CO, CT, FL, GA, IL, MD, ME, MS, MT, NC, NE, NH, NJ, NV, NY, OK, PA, SC, SD, TX, UT and VA) View Download 10/13/2017