Use this application when your Sports Club/Group will participate in a one-time or a recurring event/activity for which accident medical insurance is required.
For Excess Accident Medical Insurance, complete pages 1 & 2 including the Account Information, Coverage Requested, Type of Organization, and Sections A & B of the fillable pdf application, and sign and date the final page.
We're here to help! Please contact us in whatever manner is most convenient for you.
MAIN CONTACT
AMBA |
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Direct Phone 1-866-838-9536 |
Hours M-F 8a-5p CST |
Email [email protected] |
MAIN CONTACT
Special Markets Insurance Consultants, Inc. Address 1055 Main Street, Suite 101 Stevens Point, WI 54481 |
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Submit applications to the street address above or email them to |
Email [email protected] With a copy to [email protected] |
CLAIMS CONTACT
Tonia Spees Special Markets Insurance Consultants, Inc. |
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Phone 1-800-727-7642 Option 6 |
Email [email protected] |
Use this application when your Non-Sports Club/Group will participate in a one-time or a recurring event/activity for which accident medical insurance is desired or required.
For Excess Accident Medical Insurance, complete pages 1 & 2 including the Account Information, Coverage Requested, Type of Organization, and Sections A & B of the fillable pdf application, and sign and date page 3.