Applications
Let's win and retain business—together.
We ask lots of questions on our applications, so that we can handcraft more thorough offerings tailored to your clients' full risk potential and help you to better protect them. Ask our customer experience team for assistance at any time.
Wondering about our appetite?
Our policies won't work for every senior living or caregiving facility. Save yourself some time by getting to know our appetite.
Browse Applications
Complete the following applications for all news business submissions in the state of CA.
- Hospice Organizations
- Home Healthcare Agencies - Skilled
- Home Healthcare Agencies - Non-skilled
- Healthcare Organization Management Liability
- Senior Living Applications
- Hospice And Home Healthcare – COVID-19 Supplemental Application
- Senior Living - COVID-19 Supplemental Application
- Workers' Compensation for Senior Living
- Workers' Compensation for Hospice & Home Healthcare
Complete the following applications for all new business submissions if:
- Submission is in the state of CA.
- New business submission will have an effective date prior to 1/1/2022.
- Hospice Organizations
- Hospice And Home Healthcare &ndash COVID-19 Supplemental Application
- Home Healthcare Agencies - Skilled
- Home Healthcare Agencies - Non-skilled
- Not-for-profit Assisted Living Facilities
- Senior Apartments
- Senior Living - COVID-19 Supplemental Application
- Continuing Care Retirement communities
- Short-term Rehabilitation Facilities
- Not-for-profit Skilled Nursing Facilities
- Workers' Compensation for Senior Living
- Workers' Compensation for Hospice & Home Healthcare
Cyber
Already Have Cyber?
If your client is renewing their Glatfelter package policy that had existing cyber coverage and wants to obtain a standard quote for cyber insurance, please complete our brief questionnaire and email to submissions@glatfelterbrokerage.com.
Looking to Add Cyber?
If your client does not currently have cyber coverage with Glatfelter and wants to purchase a new policy with the standalone product, please complete our full application and email to submissions@glatfelterbrokerage.com.
Complete and email either the questionnaire or full application for renewal and new coverage beginning January 1, 2024. For more information on the cybersecurity product provided by Glatfelter's wholesale unit Glatfelter Brokerage Services, visit glatfelterbrokerage.com.
Let's make a bind.
We understand the industry, know our product advantages and we're here to help. If you have questions, want us to join in on a sales call or need our risk management team to explain the importance of specific coverages—call us.
Partner with Glatfelter.
Looking for a true partner in your MGA? One that is dedicated to promoting your growth and boosting your success? Reach out to experience the Glatfelter difference.
Partner with Us