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Home • Agent Tools • About Us • Contact Us
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Program Contact: Jerry Dilliard jdilliard@bunkerhillinsurance.com 9821 Katy Freeway, Suite 850 Houston, TX 77024 Toll-Free:(800) 645-7707 Fax: (713) 467-8238
David Ralston dralston@bunkerhillinsurance.com 9821 Katy Freeway, Suite 850 Houston, TX 77024 Toll-Free:(800) 645-7707 Fax: (713) 467-8238
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Retirement Facilities Continuing Care Retirement Community ("CCRC") Program
Coverage/Limits
- Not licensed by state, but providing services to the elderly
NOTE: Not every risk qualifies for the above programs, coverages, and features. This information is provided as an overview of the program available and should not be construed as underwriting guidelines, contractual terms, or an offer of coverage. All submissions subject to underwriting based on the individual merits of the account as well as the underwriter's judgment.
Submissions/Applications
The following mandatory items must be completed in order to receive a quote:
1. Please click on the appropriate application below
(All applications can be downloaded and
filled out on your computer or printed and filled out by hand. You
will need to download Adobe Reader in order to view the applications
2. ACORD Applications (Umbrella, Auto, Crime, Inland Marine) 3. Financial Statements (Income, Balance Sheet, Cash Flow) 4. Copy of Last Inspection by Department of Human/Health Services 5. Copy of Company Loss Reports 6. Resumes for Administrators, DONs, Executive Directors 7. Care Plan for Any Acquired Stage III or Stage IV Pressure Sores 8. Copy of Licenses 9. Company Brochures/Web Site
Please return the mandatory items to Joyce Berry by fax at (713) 935-7424 or by e-mail at jberry@bunkerhillinsurance.com. You may call her at (800) 645-7707 if you need assistance. |
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Copyright ©2007 Bunker Hill Specialty Insurance Programs. All rights reserved. |
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