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Agents & Brokers


​​​​​Agents are confident referring social services clients for SSCIP membership.​  When your clients join the Pool, not only are they getting comprehensive coverage specifically tailored to meet their organization's needs, they're becoming Member-owners of SSCIP and better risk managers.  Through SSCIP, you can offer your clients comprehensive property and liability coverage as well asownership in a financially stable, pooled-risk community of their peers, highly rated claims services, and the best risk management around.  With SSCIP, you're demonstrating not only a commitment to protecting your clients' assets, but your support for their long-term viability within Arizona's social services community. 

Authorized SSCIP agents are offered competitive new business commission with no production requirements, and benefit from direct client billing and interest-free payment options for clients.  SSCIP's underwriting and claims departments are some of the best you can work with —experienced, friendly, and prompt.


To submit a claim on behalf of your client, please report to [email protected] or via fax to (602) 996-9045.


Applications & Supplements

Broker Agreement

Camp Questionaire

Day Care Questionaire

Driver Standards

Foster Care/Adoption Questionnaire

Hired Non-Owned Auto Questionnaire

Human Services Program Questionnaire

Licensed Residential-Assisted Living Facility

Member Agreement

Non-Licensed Residential Facility Questionnaire

Prior Acts Application & Statement

Professional- Counselors/Social Workers Professional Liability Application

Professional- Supplement for Listing +5 Staff Members

Recreation/Community Center Questionnaire

Professional Liability SAM Application

Sheltered Workshop Questionnaire

Special Event Fund Raising Event Questionaire


Swimming Pool Supplement

Uninsured/Underinsured Motorist Coverage Selection Form

W-9 Request for Taxpayer Identification/Certification


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