EquineMortality.com is an online division of the BritAmerica Management Group(BMG) that provides mortality insurance markets to equine insurance professionals. BMG Agents can quote their new and existing mortality business direct with company underwriters from this site and receive confirmation within 24 to 48 hours. Complete the following and submit it for a quote!
 
 
Coverage Requested:

    Equine Mortality Insurance
Barrenness/Prospective Foal
Emergency Colic Surgery
Loss of Use
Major Medical $5,000 Limit
Major Medical $7,500 Limit
Stallion Infertility (ASD)
Surgical
Veterinary Certificate of Examination
Statement of Health for Horse Mortality Insurance
West Nile Virus Endorsement
Twelve Month Extension Clause
Other

Select the type of coverage you wish to quote or click on the blue link to view the additional coverage in .pdf format. (must have Adobe Acrobat Reader).
 
Insured:
Name:  
*Contact Number:  
 *(Optional) For Agent Reference Only!
 
Enter the name of the individual owner, partnership and/or coperation to be covered under this policy.
 
Equine:
 

1.  		Equine Name:
 Breed:
 Use:
 Year:
 Sex:

Value:

2. 
3. 
4. 
5. 
6. 
7. 
8. 
9. 
 
Enter the name, breed, use, age and sex of the equine(s) to be covered under this policy.
 
Additional Comments : (ex: the proposed effective date, any medical history, etc..)
 
Enter any additional information on the above equine(s) that should be considered by the underwriter.
 
 
Insurance Agent :
Agent/Agency Name:  
 
All Quotes must be submitted by a BMG Agent or Agency. Please enter the name of the Agent and/or Agency submitting the quote.
If your agency does not already have a contract with the BritAmerica Management Group go to our Agents Registration Page and submit an agent request form.
 
All quotes must be approved by the underwriter and are subject to the completed application! This quote is not an insurance binder and does not obligate a contract between the applicant, BritAmerica Management Group, Inc. and/or the sponsoring insurance company(s).
I agree to the above terms.
 
Copyright © 2002 BritAmerica Management Group, Inc. All rights Reserved. BritAmerica Management Group, Inc. is a subsidiary of Chesterfield Insurance Brokers and BritAmerica, Inc. To view this site, we require use of one of the following browsers: Netscape Navigator 4.08, Internet Explorer 5.0 through 5.5, or America Online version 5.0 or higher. We also require Adobe Acrobat Reader 4.0   Created by ASPGlobalNet