submission Requirements

The structure of a captive program is based largely on the historical information of the employer. The availability and quality of data is critical. The more accurate and detailed the submission, the more successful the captive formation process.

At the minimum, any submission should include:

  • Description of Products and Operations
  • Acord Application
  • Supplemental application
  • Five Years of currently valued loss runs
  • Financial Statements
  • Current exmod worksheets
  • Submissions can be emailed

Contact us

Existing Group Captive Programs

CONTACT PHONE EMAIL
Carrie Marmesh (415) 260-2814 marmesh@garnetcaptive.com

Loss Control Services

CONTACT PHONE EMAIL
Carrie Marmesh (415) 260-2814 marmesh@garnetcaptive.com

New Captive Programs

CONTACT PHONE EMAIL
JJ Purdy (484) 362-0227 purdy@garnetcaptive.com

Mailing Address

Garnet Captive Services

Cira Centre, Suite 1175, 2929 Arch Street

Philadelphia, PA 19104-7342