This page helps appointed insurance brokers submit business.
(Are you a nonprofit? Please get a quote here.)
If you are an insurance broker and you are not appointed with NIA, please refer to the instructions here to request an appointment
If you are appointed with NIA, expand the menus below to complete and submit new business applications.
Below is a chart to guide you through what a complete submission to us looks like, based on the line of business requested. Please note that ANI applications should be used for nonprofits with locations outside California, and NIAC applications should be used for nonprofits that operate solely in California. A nonprofit must have Commercial General Liability with us to qualify for other lines. Additional Supplementals Claims For any open claim, with the exception of an open claim on the Business Auto line, please submit the Supplemental Claims Application (the #11 Claims Supplemental). Your Underwriter may at their discretion ask for the #11 on other claims such as large, closed claims, or claims on the Professional or Abuse. Email your new business submission to UW@insurancefornonprofits.org. Include a need by date for the submission. Please reference chart above for what to send OR download this brochure for everything you need. We provide our best service when we receive complete submissions at least 30 days prior to policy expiration. Until ALL the requested information is received, we cannot reserve an account for your office.Complete a New Business Application
Line of Business
Supplementals (MUST BE COMPLETED IN FULL)
ACORDs
Base Limit
Commercial General Liability (CGL)
NIAC #1 / ANI #1
125 & 126
$1mil/$1mil
Employee Benefits Liability (EBL)
NIAC #8 / ANI #8
NA
$1mil/$1mil
Liquor Liability (LL)
N/A
NA
Shared w/ CGL
Social Service Professional (SSP)
NIAC #3 / ANI #3
NA
$1mil/$1mil
Improper Sexual Conduct and Physical Abuse (ISCPA)
NIAC #4 / ANI #4
NA
$1mil/$1mil – lower limits can be offered
Directors and Officers (D&O) including Employment Practices Liability
NIAC #5 / ANI #5
NA
$1mil/$1mil
Directors and Officers (D&O) excluding Employment Practices Liability
NIAC #5 / ANI #5
NA
$1mil/$1mil
Business Auto Liability and Non-Owned & Hired
NIAC #10 / ANI #10
127 & 137
$1mil CSL
Umbrella
NA
131
$1mil
Property (includes enhancement)
NA
140
Base limit based on exposure; call your underwriter
Employee Dishonesty
NA
141
Inland Marine
NA
146
Accident
NIAC #7 / ANI #7
NA
Various plan options available, as outlined in the application
Animal Questionnaire
NIAC/ANI
Fiscal Project Supplemental
NIAC/ANI
Special Event Endorsement Request
NIAC/ANI
Submit Application