Additional Information is Required to Renew Your Policy

Hiscox USA is constantly evolving and enhancing our processes to remain competitive, and to better serve our customers.

This additional information helps us to understand the individual needs of your business better, and to provide pricing that is appropriate for the size of your business, and the people you employ.

Please complete the form to the right.

PLEASE FILL OUT THE BELOW FORM

This field is required.

You can find your policy number on the upper right-hand corner of emails we've sent you or on your policy documents.

If your policy number follows the format: UDC-1234567-CGL-99, please enter only the seven digits as highlighted.

If your policy number follow the format: P100.123.456.5, please enter all characters, periods, and digits as highlighted.

Enter full number if PXXX.XXX.XXX or 7 digits only if UDC-XXXXXXX-CGL-20

This field is required.
This field must contain fewer than 500 characters.

As it appears on your policy.

This field is required.
Valid email required.
This field is required.
Please use one of the following formats: XXXXXXXXXX, XXX-XXX-XXXX, or (XXX)XXX-XXXX
This field is required.
Numerical values only.
Must be a value >=1.

Please take note of who is considered an owner – it includes owners, active partners, operators and executive officers.

This field is required.
Must be a value >=0.
Numerical values only.

Please take note that this excludes payroll associated with Owners (including active partners, operators, executive officers) as well as clerical employees, independent contractors of subcontractors.

This field is required.
Must be a value >=0.
Numerical values only.

Please take note that this excludes Owners (including active partners, operators, executive officers) as well as clerical employees, independent contractors of subcontractors.