Request Electronic Delivery

I select the option to receive the following documents in connection with my insurance policies electronically, for myself and all those covered under the policy.  I acknowledge I may continue to receive paper copies of the described documents.

• Insurance Policy
• Identification Card
• Endorsement Notifications
• Other supporting documents in connection with my insurance policy

I acknowledge that I am authorized by the company to select this option.  Any changes to the delivery option must be submitted to the company in writing.