Wholesale-Distributors
Risk Management Program
Request Form

The Program

A comprehensive risk management program has been designed for the specific needs of wholesale distributors by Wausau Insurance companies. Wausau brings years of experience in commercial insurance to the premier organization of commercial insurance agents in the country, Group 500. This association between Wausau and Group 500 has produced the combination of products, knowledge and experience needed to assure quality advice, coverage and service for wholesale distributor clients.

Wausau Insurance Companies

Wausau has specialized in insurance for commercial accounts since 1911 and is rated A+(excellent) by the A.M. Best Key Rating guide 1995 edition. The company is dedicated to helping their commercial clients minimize losses with quality loss control services and safety awareness. The Wholesaler Distributor Risk Management Program has been designed to give extra extensions of coverage that are often overlooked as part of the basic program. Wausau offers experience, ability and financial strength for wholesale distributor insurance requirements.

Group 500

An affiliation of 500 insurance agents nationwide, Group 500 was formed to provide a network for commercial insurance agents that wanted the best for their clients. Group 500 agents write commercial insurance accounts in close association with companies that want quality representation. Membership in Group 500 makes an agency one of a select group of top quality commercial insurance agencies in the nation.

Hanks Insurance Group, Inc.

As a Group 500 member, this Texas agency has joined a select group within Group 500. As a representative of the Wholesaler Distributor Risk Management Program, Hanks Insurance Group, Inc. is one of approximately 100 agencies in the nation.

Please fill in the following for more information.

Name (First Named Insured & Other Named Insured)

Phone:

Mailing Address (of First Named Insured)

Address Line 1:
Address Line 2:
City:
State:
Zip Code:

Business Type

Individual Partnership
Corporation Joint Venture
Subchapter "S" Corporation Limited Corporation
Not-for-Profit Organization Other (Please Specify)

Business Information

Years in business:

Inspection Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Accounting Records Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Nature of Business:

Please click on specific coverages for quotes:
Insurance

Workers' Compensation Non-Subscribers Programs
General Liability Umbrella
Business Auto Aircraft
Inland Marine Cargo
Equipment Environmental Impairment
Professional Liability Employee Benefits
Life, Health, Retirement Cafeteria Plans
Other Specialty Coverages as required

Bonds

Miscellaneous Bonds
Fidelity Bonds