Maryland Joint Insurance Association

Those needing coverage are encouraged to first contact their local agent. Individuals may contact the Association directly to apply for coverage.

WHO MAY FILE APPLICATION

Application may be filed directly by any person or legal entity having an insurable interest in the property. Application may be filed on behalf of the applicant by a Producer licensed by the Maryland Insurance Administration

NEW BUSINESS APPLICATION

The homeowners application form consists of multiple pages.. A completed and signed copy of the application along with a signed copy of the Statement of Additional Optional Coverages Not Included in the Standard Homeowner's Insurance Policy form need to be returned to the Association,. A copy of the cancellation or Non-renewal notice from your present carrier must also amust be submitted to the Association . One copy of the Application and Statement of Additional Optional Coverages Not Included in the Standard Homeowner's Insurance Policy is to be retained by the applicant. You should make a copy of the completed application for your records before sending it to the Association. Upon receipt by the Association the application forms are reviewed for proper completion:

The following forms are available to download and print locally or may be requested by phone or email us at applications@mdjia.org . Please be sure to include your name, mailing address and phone number and we will send you a set. Please advise if you want forms for Homeowners or Dwelling Fire. .

Once completed, the signed application form and any other required forms should be mailed to the Association at:

Joint Insurance Association
3290 N Ridge Road, Suite 210
Ellicott City, MD 21043

If applying for Homeowners Insurance, be sure to complete both pages of the application, sign the application and return it with the signed copy of the Statement of Additional Optional Coverages Not Included in the Standard Homeowner's Insurance Policy form.
A copy of the cancellation or Non-renewal notice from your present carrier must also accompany the application.

Are you adequately Insured?

MDJIA HOMEOWNERS APPLICATION PACKAGE

MD Homeowners Application Page 1 (Included in the Homeowners Application Package)

MD Homeowners Application Page 2 (Included in the Homeowners Application Package)

MDJIA Homeownrs Policy Comparison Information

JIA Annual Summary of Homeowner’s Coverages And Exclusions

ACCORD FORM 64 MDJIA Dwelling Fire/Commercial Fire Application

MDJIA Loss History rating Plan

MDJIA Windstorm Mitigation Program

MDJIA Consumer Information Sheet

MDJIA Homeowners Information Digest

MDJIA Additional Coverages Not Included In The Standard HO Policy

MDJIA Vacancy Questionnaire
VACANT -means building houses no furniture or equipment
UNOCCUPIED -means building houses furniture, fixtures or equipment but no one lives or works in it.

  • If vacancy or unoccupancy is the result of an estate problem, question #3 of the form must be answered in detail.
  • If the building is in the course of reconstruction or renovation, a copy of the contract(s) must be submitted with the application or with this form.If the applicant is performing the work, a signed letter from the applicant indicating (1) the general scope of the work to be performed, (2) the approximate cost of the work.
  • If the building is being actively marketed for rental or sale, a copy of the listing agreement for the property must be provided.

No properties that are vacant/unoccupied for an extended period of time shall be written.

No vacant/unoccupied property will be approved for coverage until an inspection is made and an Approval Notice is issued by the Joint Insurance Association.

MDJIA OCEAN CITY SUPPLEMENTAL APPLICATION

MDJIA Corporate Questionnaire

MDJIA Mobile Home Supplemental Application.
for use with Dwelling Fire Policies only-

MDJIA Windstorm or Hail Deductible Program -applicable to Dwelling, Commercial and Homeowners Coverage.

MDJIA FORM J 101 WINDSTORM COVERAGE LIMITATION When a storm is in the area

 

 

 

 

Maryland Joint Insurance Association , 3290 N Ridge Road, Suite 210, Ellicott City, MD 21043 Telephone 410-539-6808 or 1-800-492-5670 FAX 410-244-7268 Send mail to webmaster@mdjia.org with questions or comments about this web site. Copyright  (c) 2013 Maryland Joint Insurance Association