Equine Insurance Estimate

Please complete the following form, or call us toll free at 1-800-821-5558.

NOTE:

1. Minimum Premium for Mortality only is $200.
    Minimum Premium for Mortality & Major Medical or Surgical is $200.

2. No Major Medical for horses over 15 years.
    No new policies for horses over 18 years.

3. Minimum Horse Value of $2500 is required for Medical-Surgical coverage.

Get an Equine Insurance Application Word    Veterinary Exam Form Word  PDF

Personal Information

1. Name(required)
2. Address
3. City
4. State AZ AK AL AR CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY DC (required)
5. Zip(required)
6. Phone
7. Please call me as soon as possible during business hours.
8. Fax
9. Email(valid email required)

Equine Information

1. Breed Please Select One American Saddlebred Andalusian Appaloosa Arabian-Half Arabian-National Show Horse Bashkir Curley Draft (Belgian, Clydesdale, Percheron, Shire) Dutch Harness / Hackney Friesian Gypsy Vanner / Gypsy Cob Haflinger Hanoverian Holsteiner Icelandic Irish Sport Horse Miniature Mo. Foxtrotter Morgan Mule, Burro Mustang Norwegian Fjord Oldenberg Paint Paso Fino Peruvian Paso Quarter Horse Rocky Mountain / KY Mountain Pleas. Selle Francais Shetland Spotted Saddle Horse Standardbred Tennessee Walking Horse Thoroughbred Trakhener Warmblood Welsh Other-Please specify in "Additional Comments" (required)
2. Age (Not available for horses over 18 yrs)(required)
3. Sex Please Select One Gelding Mare Colt Filly Stallion (required)
4. Use Please Select One Breeding only Barrels / Poles Barrel Racing / Breeding Combined Training (Eventing) Combined Training / Breeding Cutting Cutting / Breeding Dressage Dressage / Breeding Driving Endurance Eventing Halter Halter / Breeding Hunter/Jumper Hunter/Jumper / Breeding Pleasure (not including jumping) Pleasure(not including jumping) / Breeding Pony Club 4 H Racing Rearing (foal/young unbroken horse) Racing / Breeding Reining Reining / Breeding Roping Roping / Breeding Show Team Penning Team Penning / Breeding Western Pleasure / Breeding Western Pleasure (required)
5. Value(required)
7. This is the purchase price of a recently acquired animal. Leased Horse - Value determined by Owner Fair Market Value supported by scores, points, breeding income or foal sales.

Select Coverage or Coverage Desired

1. Mortality/Theft (N/A for horses >18 yrs). Includes limited Emergency Colic Surgery for most horses.
2. #Guaranteed Renewal/Agreed Value (included for most horses)
3. Major Medical (includes Surgical) $5,000 $8,000 none
4. Surgical None $2,500 $5,000 none
5. Permanent Disability aka Loss of Use (Not Available for Racing use or values under $10,000) None Perm. Disability
6. Stallion Infertility
7. Include Personal Horse Owner Liability Insurance (More than 3 owned horses requires separate policy) $300,000 - $58 $1,000,000 - $85 No, thank you
8. Other
9. Notify Me By
10. phone Fax Email
11. Send info regarding
12. farm business club horse show/event
13. Add me to your regular email list.

I found Agri-Risk Services by:

1. Referral Source Please Select One Seller Friend Instructor / Trainer Veterinarian Horse Hauling Company Internet / Google Internet / Yahoo Internet / Equine Search Engine Magazine Show / Event I am a current / former customer Other: (required)
2. Details (Optional)

Additional Comments

2. New Field

 

2010 Agri-Risk Services, Inc. (ARS) Toll Free - 1.800.821.5558 Local - 913.897.1699 Fax - 913.897.1444 info@agririsk.com

Secure Pay Online - Adobe Reader Update

We are licensed everywhere! AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NY, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, DC

Confidentiality and Non-disclosure Agri-Risk Services (ARS) agrees that all customer information disclosed by the customer to it shall remain confidential and shall not be disclosed to any individual,corporation, other business organization or governmental agency unless required by law. ARS shall comply with the requirements of all applicable federal, state and local laws, rules and regulations of all insurance regulatory authorities including, but not limited to, the Violent Crime Control and Law Enforcement Act of 1994, and Title V of the Gramm Leach Bliley Act and any other state regulatory privacy provisions.