Skip to content
Prime Insurance Company (XINSURANCE)
application

Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance

Commercial insureds seeking specialty liability coverage: captures existing insurance carriers, policy dates, policy numbers, limits, and coverage types.

Form number
Form PRIME SCHEDULE OF OTHER INSURANCE
Edition
Edition EIBI-A-407 29AUG2012
Fields
72 fields
Pages
2 pages

What this form asks for

Examples from the PDF's 72 fields. Bindly uses the full field map to ask only the questions that apply.

  • Insurer
  • Effective Date
  • Policy NO
  • Limits
  • Coverage Type
  • Applicant
  • Agent Broker
  • Print Name

Watch Bindly fill this form

Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance

A quick preview. With Bindly it runs on your real client and produces a downloadable PDF.

Fill the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance in minutes, not hours

Bindly interviews the insured in one plain-language conversation and auto-fills the fields for you, ready for broker review and e-signature. No logins or downloads for the insured.

5 free fill sessions a month. No card required.

Filled, reviewed, and ready to bind

Bindly reads Prime Insurance Company (XINSURANCE)'s form, interviews the insured once, and fills every field, skipping questions that don't apply and reusing answers across the whole submission packet. You review, e-sign, and submit.

Frequently asked questions

What is the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance?
Commercial insureds seeking specialty liability coverage: captures existing insurance carriers, policy dates, policy numbers, limits, and coverage types. It is part of Bindly's library of 3,000+ insurance forms.
Where can I download the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance?
You can preview and download the blank Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance PDF for free on Bindly's form library, or have Bindly fill it for you automatically. No login is required to preview or download.
How do I fill out the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance?
Bindly interviews the insured in one plain-language conversation and automatically fills every field on the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance, ready for broker review and e-signature. No manual rekeying, and no logins or downloads for the insured.
What information does the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance ask for?
The Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance includes fields for Insurer, Effective Date, Policy NO, Limits, Coverage Type, and Applicant. These are examples from the PDF; the exact questions that apply depend on the risk and coverage requested.
How many fields does the Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance have?
The Prime Insurance Company (XINSURANCE) Prime / XINSURANCE Schedule Of Other Insurance has 72 fillable fields across 2 pages. Bindly captures them all from a single conversation with the insured.
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-419 09OCT2020

Prime / XINSURANCE Physicians Surgeons Application

Medical Professional Liability application for physicians and surgeons, capturing credentials, specialty, procedures, practice operations, staff, facilities, insurance history, and claims exposures.

611 fields 13 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-474 14DEC2012

Prime / XINSURANCE Underground Storage Tank Application

Pollution Liability application for underground storage tank owners/operators, capturing site operations, tank and piping specifications, leak controls, regulatory compliance, contamination history, and inventory monitoring.

503 fields 7 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-298 07JAN2013

Prime / XINSURANCE Contractors Application

General Liability application for contractors and construction businesses, capturing operations, project types, subcontracting, payroll, receipts, hazardous work, insurance history, and claims exposures.

479 fields 10 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-338 28NOV2012

Prime / XINSURANCE General Contractors Application

General Liability application for general contractors and developers, capturing operations, construction types, subcontracting, project values, hazardous work, safety practices, insurance history, and claims.

448 fields 9 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-290 16AUG2024

Prime / XINSURANCE Commercial Auto Trucking Application

Commercial Auto and Motor Truck Cargo application for long- and short-haul trucking fleets, capturing operations, commodities, equipment, drivers, loss history, safety controls, and requested coverages.

445 fields 9 pages
Prime Insurance Company (XINSURANCE)
Ed. EIBI-A-440 10MAY2019

Prime / XINSURANCE Rental Liability Application

Commercial rental liability application for motorized and recreational equipment rental businesses, capturing operations, fleet schedule, participant exposure, safety controls, maintenance, and claims history.

421 fields 7 pages