Please print this page as it contains mail and fax
information.
The Aon Attorneys' Advantage program is excited to make available to
the legal community a carrier with the financial strength, stability and experience
of Carolina Casualty. Carolina Casualty Insurance Company is an admitted carrier
rated A (Excellent) by A.M. Best with financial size category VIII.
You can download an application and the appropriate supplement forms by clicking
on the links below. In order to complete the pdf online, before printing and
mailing or faxing to the address listed below, you will need Adobe Acrobat 5.0
or higher.
All
of our forms are provided in PDF format which require Adobe Reader 5.0 (or above)
to be viewed or printed. You can download a free version of Adobe Reader from
Adobe's
website.
Complete forms should be mailed or faxed as follows:
Affinity Insurance Services, Inc.
The Woodlands
4001 So. 700 East Suite 500
Salt Lake City UT 84107
Fax: 801 264-6704
Phone: 866-291-5897
Contact: Jenny Olsen
Application (Proposal Form)
LPL 29505 (rev. 0504-I) - Proposal Form
Supplemental Required Form
LPL 29600 (rev. 05-99) - Individual Insured Supplemental Form
Supplemental Forms - May be required based on answers supplied on the application.
LPL 29610 (rev. 05-99) - Claim/Incident Supplemental Form
LPL 29620 (rev. 05-99) - SEC/State Securities Supplemental Form
LPL 29730 (rev. 05-99) - Plaintiff Supplemental Form