Direct Selling Association Endorsement

Health, Life &
General Liability
For Direct Sellers
Exclusively Endorsed By
Direct Selling Association

No cost, No obligation
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Direct Seller
   Liability Insurance
    New or Renewal Enrollment

Thank you for your interest in this vital insurance protection for your direct selling business activities home & away!

Your enrollment will be reviewed for eligibility. Applying below does not guarantee coverage. If approved, your insurance certificate will be emailed to you generally in 24 hours or less and is for a one year period. We'll notify you prior to coverage expiring so that you may reapply. If you have questions, please call 800-821-7383.

NOTE: If a meeting facility, fair, event, etc. requires a Certificate that names them as an Additional Insured onto your coverage, it is available as an Option. You must already have the Direct Seller General Liability coverage, then please complete the request for the Optional Certificate, just Click Here.

NEW or RENEWAL: Please fully complete the form below
Sellers of Security Systems/Devices and/or, Utilities or services for any of the following: Real Estate, Financial Education, Home Mortgage are ineligible for this program but may be eligible for our Home Based Insurance Program or Commercial Insurance Program 
First Name      Last Name  
If you also use a Business Name
Address Street Only - No P.O. Boxes
City      Zipcode
Contact Phone (913) 555-1234
Email Address
Coverage Date Coverage begins at 12:01am midnight tonight,
or provide a future effective date here
                              Promo Code
Your Direct selling company affiliation
Select Company Required
Company Name If not listed in the drop down above
Your ID # (Distributor, Consultant, Member) Required
Terms & Conditions                                                                Refund Policy                             
Please click that you agree to the Terms & Conditions
I Agree Yes No

Thank you, now make your plan selection on the next page

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Terms & Conditions. Completion of this enrollment form confirms your desire to obtain insurance through the Sports, Leisure and Entertainment Risk Purchasing Group or the WellnessPRO Purchasing Group. The submission of this enrollment form and/or acceptance of payment does not guarantee coverage. Certain operations are not eligible for coverage under this program. PRO Insurance Managers reserves the right to decline any request for coverage. You realize that any false, or inaccurate statement or misrepresentation in the enrollment form may result in claim denial or contract rescission. Any person who injures, defrauds, or deceives any insurer, files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. You understand that the plan applied for will not pay benefits for any expenses incurred on account of any claim before the effective date or for the products/services that you sell/market. You further acknowledge that you have reviewed all information provided with this enrollment form and understand the exclusions that apply, as well as the activities and operations for which coverage is not provided.

I understand the plan hereby applied for will not be considered in force until a policy or certificate is issued and full payment of applicable charges and fees (fee portion of cost - option #1 = $130 to $145; option #2 = $252 to $267; option #3 = $217 to $232; option #4 = $383 to $398; a 3% processing fee is charged in addition to the fees shown) has been received and other conditions remain as described in this application. The charges and fees charged under this program are fully earned and are not refundable. No representation except by PRO Insurance Managers, Inc. or the company are binding. No other person has the authority to issue or change coverage or the effective date of coverage. I warrant and represent that by clicking "I Agree" that I authorize PRO Insurance to charge my payment for the coverage ordered and verify and affirm any information I've completed above and that I understand and agree to all of the foregoing.

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