Employer Additional Insured Change
Only the employer can be modified as an entity on this policy. There is a $50 charge to add an additional insured. We will contact you in the next two business days to collect payment.
If you need to remove an additional insured from your policy, please call our offices at (800) 622-AOPA 
Please provide Assured Number and/or Policy Number.
Employer Additional Insured Change Information
Additional Insured Name
Additional Insured Address
Additional Insured Phone
Additional Insured Email
Additional Insured Fax
A binder will be sent automatically once your request has been processed by an agent and premium has been paid.
Please be advised that any request to bind or amend coverage is not official until acknowledged in writing by our office.
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