NYPIUA New York Property Insurance Underwriting Association
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INSTRUCTIONS FOR COMPLETING 
E - DWELLING APPLICATION

NYPIUA OFFERS THE FOLLOWING COVERAGES:
  • Fire Insurance, Lightning and Explosion
  • Extended Coverage - Windstorm, Hail, Riot, Riot attending a strike, Civil Commotion, Damage due to Aircraft, Damage due to Vehicles, and Smoke  
  • Vandalism & Malicious Mischief (Not available for vacant or unoccupied buildings)
  • Additional Living Expense
  • Rental Value
REMEMBER:
  • BOTH Producer and Insured must sign the e-dwelling application.
  • Enter proper deposit using a checking account.
  • Answer all questions completely.
  • Give complete description of property and address.
DEPOSIT SCHEDULE:
 Determine the deposit premium as per the following schedule:
Household Furnishings .............$50.00 
1-4 Family Private Dwellings ......$75.00 for each $50,000 of coverage or any fraction thereof.
No additional deposit is required if Extended Coverage, Vandalism & Malicious Mischief, Additional Living Expense, or Rental Value are requested.
Calculate deposits separately for building and household furnishings.
( Click here to Calculate Deposit Amount)

(THE PREMIUM ACCEPTED WITH THIS APPLICATION IS FOR DEPOSIT PURPOSES ONLY. ACCEPTANCE OF A DEPOSIT IS NOT AN AGREEMENT TO INSURE.  IF COVERAGE IS DECLINED, THE DEPOSIT WILL BE RETURNED.)

BINDING DATES:

  • 12:01 AM standard time, on the day after receipt, unless a later date is specified.
  • 12:01 AM standard time, 17  days after receipt on vacant or unoccupied buildings.
  • 12:01 AM standard time, 17  days after receipt on risks previously cancelled by the Association.
VACANT OR UNOCCUPIED BUILDINGS ARE INSURABLE IF: BUILDINGS UNDER REPAIR OR RECONSTRUCTION(RENOVATION):

Buildings under repair or reconstruction are insurable if kept secured when workers are not present. ( Click here to see part C of UA-484).
UA-484 FORM MUST BE FILLED OUT WITH APPLICATION.  

 
Fill Out Application

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