Avantax - Enrollment

In order to complete this application you
need to have Cookies turned on.

To turn Cookies on follow instructions for your browser. Refresh the current page

In Internet Explorer:
(This will also enable Active scripting)

From the Tool Bar click Tools, then click Internet Options
Click the Privacy tab
Click Default Level
Click the OK to exit

In AOL:

From the AOL Toolbar, click Settings
Click Preferences
Click Internet Properties (www)
Click the Privacy tab
Click Advanced Deselect override automatic cookie handling button
Click OK to exit

In FireFox:

From the toolbar click Tools
Click the Privacy tab
In the cookies section make sure "Accept cookies from sites" is checked

In Netscape:

From the Tool Bar click Edit
Click Preferences
Click the Privacy and Security category; expand the list to show the subcategories
Click Cookies
Click the following choices:
- Enable cookies for the originating web site only
- Enable all cookies
Click OK to exit

Based on your answers to questions you are not eligible to apply online. Please contact us at 1-800-797-2285, Monday - Friday from 8:30 am to 5:00 PM ET to discuss your coverage options.

Click here to return to the home page.

body{ padding-top:5px; } html{ overflow:hidden; }

In order to complete this application
you need to have JavaScript turned on.

To turn JavaScript on follow instructions for your browser. Refresh the current page.

In Internet Explorer:
(This will also enable Cookies)

From the Tool Bar click Tools, then click Internet Options
Click the Security tab
Click the Internet icon
Click Default Level
Click the OK to exit

In AOL:

From the AOL Toolbar, click Settings
Click Preferences
Click Internet Properties (www)
Click the Privacy tab
If the security level is set to Custom, you can change it to another setting (we recommend Medium)
Click OK to exit

In Firefox:

From the Tool Bar click Tools, then click Internet Options
Click the Privacy tab
Click Content icon
Make sure "Enabled Javascript" is checked
Click ok to exit.

In Netscape:

From the Tool Bar click Edit
Click Preferences
Click the Privacy and Security category; expand the list to show the subcategories
Click Advanced
Click the boxes in front of the following options:
- Enable Java
- Enable JavaScript
Click OK to exit

Agents Errors & Omissions
Insurance Program

Contact Us

Required Field

First Name

Last Name

Company Name

Address 1

Address 2

City

State

Zip

What is the best way to contact you?

Phone

() -

Fax

() -

I wish to receive periodic email updates regarding the E&O program.

Questions or Comments (2000 character maximum)

Home

Home

Do Not Sell My Personal Information

Cookie Preferences

Contact Us: info@agents-eo.com or 866-231-1998
Insurance License Information
Read our disclaimer and privacy statement
© 2024 Affinity Insurance Services, Inc.

In order to complete this application you need to have Cookies turned on.

Agents Errors & Omissions Insurance Program

Contact Us

In order to complete this application you
need to have Cookies turned on.

Agents Errors & Omissions
Insurance Program