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 application form consists of multiple pages. Two (2) completed and signed copies 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. Upon receipt by the Facility 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, 2 copies should be mailed to the Association at:

Joint Insurance Association
170 W. Ridgely Road, Suite 230
Lutherville, MD 21093

If applying for Homeowners Insurance, be sure to complete both pages of the application and return 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.

HOMEOWNERS APPLICATION PACKAGE

JIA Annual Summary of Homeowner’s Coverages And Exclusions

 

ACCORD FORM 64 Maryland JIA Dwelling Fire/Commercial Fire Application

Important Policyholder Notice December 2005

Joint Insurance Association Consumer Information Sheet

Maryland JIA Homeowners Information Digest

MD JIA 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.

OCEAN CITY SUPPLIMENTAL APPLICATION

MD JIA Corporate Questionnaire

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

 

 

 

Maryland Joint Insurance Association , 170 W. Ridgely Rd., Suite 230 Lutherville, MD 21093 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) 2005 Maryland Joint Insurance Association