1. To obtain a firm and cost effective insurance quotation with no obligation please CLICK HERE and select the application that best represents your business operation. Assisted Living, Skilled Nursing Board & Care, Select the Application.
  2. Please complete the application in it`s entirety do not leave any blanks if it does not apply indicate with an (N/A) and submit on line by pressing the submit button or print out the form and fill it in and fax to (818) 709-4154 upon receipt of the completed application and the additional documents asked for, some one from our office will review the same day and contact you with any additional questions.
  3. If you have any questions please do not hesitate to call my office for complete assistance we will walk you through the application process.  

We require the following additional information in order to present a firm offer. Not all these items will apply to your application, Each Application page will outline what is necessary or please call our office for explanation.

  1. (5) years current valued loss runs
  2. Most recent financial statement
  3. Resumes on administrator and DON and Medical Director if applicable
  4. Copy of current state license
  5. Skilled facilities copies of Facility Quality Indicators
  6. Copy of most recent State inspection and plan of corrections
  7. Copy of facility marketing brochure
  8. Copy of admission agreement

We Invite You to Complete One Of Our Applications and See For Yourself

We Invite You to Complete One Of Our Applications