Hylant Group: Resources

Hylant Advantage Plan - Personal Appearance Insurance

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If you would prefer to speak with an Agent instead of completing this online form, please call Hylant Group of Ann Arbor at 734-741-0044. All fields are required for an accurate quote otherwise an agent will need to contact you for additional information. Thank you!

General Information
Business Name: Contact Person: 
Address #1: Address #2:
City: State:             Zip: 
Daytime Phone: Evening Phone:
Fax: E-mail Address:
       
Schedule of Hazards
Type How Many
Air Brush or Spray-On Tanning Beds
Aqua Message Beds
Beauty/Barber/Manicurist/Aestheticians (Full-Time)
Beauty/Barber/Manicurist/Aestheticians (Part-Time)
Electrologists (Full-Time)
Electrologists (Part-Time)
Hot Tubs/Saunas/Steam Rooms
Instructors
Message Therapists (Full-Time)
Message Therapists (Part-Time)
Sun Tan Beds (Bulb Style)
   
Optional Coverages
Employee Benefits: Employment Practices Liability: 
Hired/Non-owned Auto:    
       
Underwriting
Years in Business: Do you own or rent your location? 
Do you perform any non-personal appearance care services or operations other than sales/services of beauty related products?
            Details
            
Do you perform any chiropody or podiatry?
Do you perform any permanent cosmetic applications?
Do you perform any body wraps?
Do you perform any type of laser treatment?
Do you perform wart, mole, or other growth removal?
   
Building Information
Coverage Desired? Construction:
Year Built: Square Feet:
Number of Stories: Percent Occupied:
       
Limits
Building Value: Contents Value:
 

Please note that no coverage can be bound, changed, or deleted via this web site. You may make a request.
However, any request is not deemed effective until a formal verification is sent to you from our office.