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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

Sep 07, 2010
Contact Info:
Affinity Insurance Services, Inc.
The Woodlands
4001 So. 700 East
Suite 500
Salt Lake City
UT
84107

Work Phone:
801-264-6703
Work Phone:
866-291-5897
Fax:
801-264-6704
Contact:
Jenny Olsen
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We have partnered with Augeo Benefits to offer you a variety of health insurance plans.

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