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Submission Requirements and Applications

Send submissions to  su.....@kbunderwriters.com and include the following list:

List of required documents

  • Acords

  • Signed Statement of Values

  • Business Interruption worksheet (if applicable)

  • Supplemental App

  • 5 yr current Loss Runs

  • Financials

    Most recent FYE balance sheet and income statement

  • Brochures and/or advertising material

  • Resident admission agreement

  • Expiring Policy

  • Resumes for Administrators and DONs

  • Facility Licenses

  • State Survey Reports

    Last 2 years (include all deficiencies and corrective action plans)

  • Organizational Chart

  • Emergency Evacuation plan

Supplemental Applications