1 1 Nutra Product Application
2 2 Payment

Nutra Products Insurance Application

Sorry, we don't have availability to purchase it online, but we are working on it! In the meantime, please submit quote for underwriting and we’ll reach out with any remaining questions!
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This policy will go into force on the start date and stay in force for 12 months.

Payments for this policy will stay in effect until cancelled.

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Your application will be submitted for underwriting.
Your application cannot be completed online.
Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

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Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

Your application will be submitted for underwriting.
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

Nearly 1 in 4 businesses have experienced a cybersecurity event. If you collect and/or store customer and financial data, we strongly advise adding Cyber Liability Coverage for greater protection and peace of mind.

Your application will be submitted for underwriting.
+ $299.00+ $24.92
Your application will be submitted for underwriting.

Due to the natural disaster in your area, some options are disabled from this group. You may purchase this option when the suspension has lifted.

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Manufacturing Questions

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Insurance & Claim Questions

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Excluded Products
By selecting "no" you are choosing to abandon this application. Please select "yes" if you agree there is no coverage afforded under this policy for the above listed products and you would like to continue your application.
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Review The Terms & Conditions

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Terms and Conditions
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Read Company Email, Phone and Electronic Delivery Statement

Business information

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Business name - Only letters (A-Z), numbers (0-9), & (ampersand), and - (hyphen) are allowed.
Please provide your full name under mailing address.
A business you own and operate, not a business that employs you.
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Invalid phone
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Physical Address

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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces
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Name can be between 2 and 70 characters long and can contain letters, hyphens, commas, dots, apostrophes and spaces
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WE CANNOT ACCEPT A PO BOX AS A PHYSICAL ADDRESS. KINDLY ENTER A PHYSICAL ADDRESS FOR YOUR BUSINESS.
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Please click here to be directed to an application that is specifically for those whose business is in .

This state is not available for this program.

Due to the current natural disaster in your area, we are unable to provide all Inland Marine options associated with this program at this time. All Inland Marine options will be available soon.

Note: If you are trying to add a policy from your customer dashboard and your current policy is expired, please change your State selection above, and then change it back to your correct state. This will allow you to continue to step two. We apologize for any inconvenience this has caused. (i.e., North Carolina > Texas > North Carolina)

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Invalid physical ZIP code

Mailing address

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WE CANNOT ACCEPT A PO BOX AS A PHYSICAL ADDRESS. KINDLY ENTER A PHYSICAL ADDRESS FOR YOUR BUSINESS.
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This field is required
This field is required
Please click here to be directed to an application that is specifically for those whose business is in .

This state is not available for this program.

Due to the current natural disaster in your area, we are unable to provide all Inland Marine options associated with this program at this time. All Inland Marine options will be available soon.

Note: If you are trying to add a policy from your customer dashboard and your current policy is expired, please change your State selection above, and then change it back to your correct state. This will allow you to continue to step two. We apologize for any inconvenience this has caused. (i.e., North Carolina > Texas > North Carolina)

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Invalid ZIP code

Add Additional Insureds.


When you add a person*, event, or organization to your policy as an additional insured, they receive protection if they are named in a suit due to a covered business-related loss/claim because of your actions or operations.

* Additional insured status cannot be granted to a friend or co-worker as an extension of your policy. Each individual must purchase their own policy to obtain liability coverage.

* A written contract, such as a venue, studio rental, or employment contract is required to add another party as additional insured.

Nutra Products Annual Insurance Policy - AI #{[{ $index + 1}]}(+$0.00)

Included with policy: Additional Insured, Waiver of Subrogation, Primary and Noncontributory.

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Please enter valid email address
Email should not be the same as the policy's holder email
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Please only use the additional insured email and do NOT use the policy’s holder email

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Invalid ZIP code
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Locations information

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Please Fill in required State Documents

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Signature
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Policy Holder Edit

, ,
Email:
Email:
Mobile number:

Mailing Address is the Same as the Physical Address
Mailing Address:
, ,

Payment Information Edit

Payment Method:

Nutra Products Annual Insurance Policy

Monthly Payment Breakdown

Policy start date: - Policy end date: Edit

If changes are needed, please reach out to your agent.
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Policy Holder Business Information

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Business Type
name
DBA
Mobile number
Website
Business Activities
Business Activities Description
Product Description
What were your gross sales over the previous 12 months?

Manufacturing Questions

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Is your business domiciled in the US?
Please provide more information:
Who manufactures your products?
Do you comply with Good Manufacturing Practices (GMP)?
Are you doing any mixing or combining of ingredients out of a residence?
Are your products tested by a third party lab?
Do you do any contract manufacturing?
Percentage of sales?
Do any of your products require a prescription or doctor approval?
Have you ever recalled or are considering recalling any product?
Have any of your products or ingredients or components thereof ever been the subject of any investigation, enforcement action, or notice of violation of any kind by any governmental, quasi-governmental, administrative, regulatory oversight body?
Have any new products or services been added in the past 12 months, or are you anticipating adding any new products or services in the next 12 months?
Please provide additional information regarding any other products and services
Do you produce or manufacture any CBD products?
Are you a distiller, extractor, processor, or grower of CBD/Hemp?
Is any CBD/hemp imported from outside North America?

Insurance & Claim Questions

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Do you have existing insurance coverage in place?
Previous Carrier Name:
Limits
Expiration Date
Retroactive Date:
Attached file:
Have you had any liability or property claims in the last 5 years?
Have you had any unreported claims, or are you aware of any fact, incident, circumstance, situation, defect or suspected defect which may result in a potential liability or property claim?
Do you agree that there is no coverage afforded under this policy for the following products, derivatives, or related botanicals and/or extracts, whether as a primary ingredient or in combination with other ingredients
Excluded Products
PRODUCT LABELS AND INGREDIENT LISTS ARE REQUIRED TO PURCHASE THIS INSURANCE. DID YOU PROVIDE A WEBSITE URL IN YOUR CONTACT INFORMATION WHICH INCLUDES THIS INFORMATION?
Attached file:

Review The Terms & Conditions

I agree to the following Terms and Conditions.
Terms and Conditions
I agree to the following email, phone and electronic delivery statement.
Read Company Email, Phone and Electronic Delivery Statement

Additional Insureds

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Unlimited Additional Insureds
Additional Insureds
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Employees

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{[{ employee.firstName }]} {[{ employee.lastName }]} + {[{ optionalCoverage.employeePrice|currency }]}

Independent Contractors

Edit
{[{ contractor.firstName }]} {[{ contractor.lastName }]} + {[{ optionalCoverage.independentContractorPrice|currency }]}

Your policy will be issued and your documents available immediately after clicking the "Purchase Policy" button below. Your policy application may be subject to review by our underwriting team to verify that the business operation, product, and/or service meet the eligibility guidelines established for the program. In the event we need further clarification to determine eligibility, we will contact you via email at the email address used to establish your account. If an account is found to be ineligible during the underwriting period, the policy will be subject to immediate cancellation and a full refund will be issued. After the underwriting period, the premium is 100% earned and no refunds will be given.

Your agent will be contacting you soon. There is a pending document to be submitted.

Initial payment: {[{ firstPayment|currency }]}
{[{ monthlyPayment.firstPaymentType }]}

We'll automatically charge your card {[{ monthlyPaymentAmount|currency }]}/mo for the next {[{ checkoutData.configuration.monthlyPaymentCount }]} months.

Switch to annual

Credit card information

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Please enter your credit card and bank information. Your credit card will be used for the down payment and your bank information will be used for the Capital Premium finance agreement monthly draft. If you have questions about alternative payment methods for the capital monthly draft please contact Capital Premium.
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This feature will create a customer payment profile for your billing information to allow easy checkout during future policy coverage extensions or updates. Credit card information is not stored within our system. All billing information is processed through authorize.net

EZ-Renew

With this beneficial feature your insurance coverage will be continuous without you worrying about having a lapse in your insurance policy.

You will receive a Conditional Renewal Notice prior to the renewal date of your policy. If you wish to cancel your policy, you must notify us in writing prior to the policy renewal date. You can cancel EZ-Renew at any time from your dashboard. Your policy will be renewed with the same coverage's, additional insureds and endorsements as your current policy. If you wish to change any coverages, you can login to your on-line account and make changes to your policy at any time.

Please note that we do NOT store credit/debit card numbers, nor do we share customer details with any third parties. Recurring billing is managed via Authorize.net.

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Based on your previous answers, it appears your business situation is unique and deserves a more personal touch. Please complete the application and one of our licensed sales agents will contact you within 48 hours to complete your quote.
Please click here to be directed to an application that is specifically for those whose business is in .

This state is not available for this program.

You have selected a monthly payment plan. This is how much you will pay per month.
You have selected an annual payment plan. This is how much you will pay annually.
Nutra Products Annual Insurance Policy

Policy Endorsements

Additional insureds

Coverage for Employees

Coverage for Independent Contractors

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monthly
annually
$
monthly
DUE TODAY: (downpayment)

Initial payment: {[{ firstPayment|currency }]}
{[{ monthlyPayment.firstPaymentType }]}

We'll automatically charge your card {[{ monthlyPaymentAmount|currency }]}/mo for the next 10 months.

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