FULMONT MUTUAL INSURANCE COMPANY

 HIGH TECH COMMISSION PROGRAM  Return to Introduction Letter &  Bulleted List

ELECTRONIC APPLICATION PROGRAM AND ACH PAYMENT SWEEP

You must use this  electronic application program for Homeowners, Landlords’ Package and BOP  Policies to be eligible for additional commission dollars.  Follow our simple directions to submit an electronic application. 

  • You will need to use our Fulmont Rater rating program to rate your HO, LLP or BOP policy.  Please complete all rating sections needed, including the underwriting information section.  This will eliminate the need for completing a paper application. 

  • Once you have rated the application and saved the information following the rating program directions, you are now ready to e-mail the application to the applicable underwriter at Fulmont Mutual Insurance Company.  

  • If your policyholder is purchasing additional coverage which requires attaching a ‘typed-on’ form (ML-48 for Related Private Structures, ML-41 for Additional Insured, etc) you may type this form and send it to us with your attachments.  Additional forms for typing may be found on our Electronics forms disk which will be provided to you. 

  • You should print a supply of Signature Page forms from our Electronics Forms disk for your use.  Please complete a Signature Page for each application.  You may fax  or e-mail this page to us, including all attachments (R/C estimator, attached forms, etc.)  

  • To finalize your electronic application, down payments must be deposited to your bank account in a timely manner to allow us to electronically transfer the funds to our account.  On your Signature Page, please indicate the payment amount and date that we may transfer the policyholder’s payment from your bank account.  (Example:  $500. down payment to be transferred on or after 1/24/05.) 

By using this  electronic application program, you will save in the following ways – 

  •  Time – using our rating program gives you instant quotes & applications.

  •  Postage – no need to mail anything to the Company.

  •  Efficiency – Your policy will be processed and mailed  within days of original submission. 

Revised 03/2005         [ Return to Top ]