Request Policy Changes

Quickly request servicing on your client‘s policy. Your client's change request(s) will only be considered complete when Hiscox issues an email to the insured acknowledging approval of the request, typically within 1 business day.

If you have any questions or need to speak with us regarding your request, please contact us at 1-866-739-0727, Mon – Fri, 7am – 10pm ET.

Your Information

This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
Valid email required.
Please use one of the following formats: XXXXXXXXXX, XXX-XXX-XXXX, or (XXX)XXX-XXXX

Policy Information

This field is required.
This field must contain fewer than 500 characters.
The business name of the insured.

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

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

If your client's 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

Policy, Agent and Partner Servicing Request

How may we assist you today?
Please select one or more of the following options.

Please select at least one option.

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

Entity will be listed as the certificate holder on the ACORD

This field is required.
This field must contain fewer than 500 characters.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field is required.
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code

If your client or landlord requires specific language on the ACORD certificate. You understand and agree any language entered in the description of operations wording field does not alter or change any of the policy's terms and conditions.

ACORD certificate (Certificate holder request)

The one-page ACORD certificate of insurance summarizes essential information about your insurance policy, such as coverage types, policy numbers, insurance limits, and effective and expiration dates. If your client or landlord requires additional insured status under written contact with you we will issue the Acord certificate holder with additional insured status.

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

The name of the business requesting a certificate of insurance

This field is required.
This field must contain fewer than 500 characters.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field is required.
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code

If your client or landlord requires specific language on the ACORD certificate. You understand and agree any language entered in the description of operations wording field does not alter or change any of the policy's terms and conditions.

This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field is required.
This field must be a valid phone number.
This field is required.
This field must be a valid email address.
This field is required.
This field must contain fewer than 500 characters.
This field must contain fewer than 500 characters.
This field is required.
This field must contain fewer than 500 characters.
This field is required.
This field is required.
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code
Please enter the 5 digit ZIP code
This field must contain fewer than 2000 characters.

If your client or landlord requires specific language on the ACORD certificate. You understand and agree any language entered in the description of operations wording field does not alter or change any of the policy's terms and conditions.

This field is required.
This field must be a number.
This field is required.
This field must be a number.
This field is required.
This field must contain fewer than 2000 characters.

Select all that apply.

This field is required.
This field is required.

You will receive a set of your most recent Hiscox policy documents via email within one business day.

This field is required.

Modified Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) 

General Liability: Some client contracts or landlord lease agreements require your Commercial General Liability insurance to include a waiver of subrogation. If your contract or lease agreement requires this coverage modification, you can include it on your policy for an additional fee. This endorsement allows you to waive your rights against another party so long as you do so in writing prior to: An offense arising out of your business that caused a “personal and advertising injury” or an "occurrence" that caused "bodily injury" or "property damage". 

Professional Liability: Some client contracts require your Professional Liability insurance to include a waiver of subrogation. If your contract requires this coverage modification, you can include it on your policy for an additional fee. This endorsement allows you to waive your rights of recovery, provided that Your waiver of Your rights is in writing and predates the first such Wrongful Act giving rise to the Claim resulting in payment of Damages or Claim Expenses by Us.

This field is required.
This field must contain fewer than 2000 characters.
This field is required.
This field must contain fewer than 2000 characters.
This field is required.
This field is required.
This field must contain fewer than 2000 characters.
Please provide more detail than "consulting", a brief description of what your client does will expedite handling.
This field must contain fewer than 2000 characters.

For the waiver of subrogation endorsement, a 10% premium charge will be applied to the policy.

This field is required.
This field is required.
This field must be a valid email address.
The email address where the loss run report will be sent.
This field must contain fewer than 2000 characters.
If this is in response to a request from us, please provide a brief description regarding the reason we asked for these documents (as this request will be processed by a different individual than the one you spoke to or heard from earlier.)
This field is required.

Acceptable files: PDFs, Outlook email files (.msg), HTML files, Word docs, Excel docs and jpgs of up to 25MB.

This field is required.
Please provide the date in the YYYY-MM-DD format (e.g., 2024-03-10).
The date of the sale, in the YYYY-MM-DD format.
Please provide any additional comments.
This field is required.
Please provide the date in the YYYY-MM-DD format (e.g., 2024-03-10).
The effective date of the change, in the YYYY-MM-DD format.
This field is required.
Please upload your completed Broker of Record Change form.
Select all that apply.
This field is required.
This field must contain fewer than 2000 characters.
This field is required.