Underwriting
	Disclosure Statement and Details of Claims Form.pdf
	Disclosure Statement and Details of Claims Form.xls
	Statement of Health
	Medical Information Release
	UR LCM Vendor Evaluation Package
	PPO Network Questionnaire
Administration
	Premium submissions
	Agent Appointment Form
	Application for Reinstatement of Excess Loss Coverage
	Monthly Aggregate Claim Reports
	TPA Questionnaire
	Sample ANICO Treaty
Claims
	Specific Reimbursement Request
	50% or Potential Claim Notification
	Confirmation of Work Status/Eligibility Form
	Bardon’s Trigger Diagnosis Codes
	BIG Aggregate Excess Risk Form
	Aggregate Accommodation Form
	Final Aggregate Form
	Completed Funding Questionnaire