Welcome To CDAGCC-Care

Protection for Coaches/Insutructors and Youth Participants

Cheer. Dance. Arcobatics. Gymnastics. Choreographers. Coaching

Protection is just a few clicks away. Please select an option below.

Participant Accident Medical Cost Reimbursement

Acrobatics & Tumbling Coach Liability Insurance

Cheer Coach Liability Insurance

Choreography Liability Insurance

Dance Coach Liability Insurance

Gymnastics Coach Liability Insurance

Event Producers

Gym/Club/Sudio Owners

Thank you for your interest. Due to the complex nature of your business we need to gather more infomormation from you. If you would, please complete the information below and one of our representatives will contact you.

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC & Growers Mutual Agency, Inc. Consent not required to purchase.

Business Name

Please specify an answer

Business Address

Please enter a valid address

What Types of Policies Do You Currently Have?

Building/Contents

Commercial Auto

Commercial General Liability

Event Cancellation

Excess Liability

Workers Compensation

Not Currently Insured

If you have current coverage, please upload your policy(s). We offer a full review at no cost to you.

Accepts png, jpeg, pdf

General Liability

For: Dance Coaches/Instructors or Choreographers

Protection for you or your business against lawsuits, customer injuries, accidents and damage costs.

General liability can help pay expenses if you or your business is acused of causing personal injury or propety damage. Provides a financial safety for accidents affecting someone other than an employee and can help pay for medical expenses, damages and legal costs if you're sued.

Coverage Limits

$2,000,000 Per Occurence

$4,000,000 Annual Aggregate

$100,000 Damage to Rented Premises Coverage-Fire Legal Liability

$15,000 Medical Expsenses-Per Person Limit

$100,000 Abuse & Molestation Coverage -Occurence & Annual Aggregate

If you would like a quote, please click continue.

General Liability

For: Acrobatics, Cheer and Gymnastic Coaches/Instructors

Protection for you or your business against lawsuits, customer injuries, accidents and damage costs.

General liability can help pay expenses if you or your business is acused of causing personal injury or propety damage. Provides a financial safety for accidents affecting someone other than an employee and can help pay for medical expenses, damages and legal costs if you're sued.

Coverage Limits

$1,000,000 Per Occurence

$2,000,000 Annual Aggregate

$100,000 Damage to Rented Premises Coverage-Fire Legal Liability

$15,000 Medical Expsenses-Per Person Limit

$100,000 Abuse & Molestation Coverage -Occurence & Annual Aggregate

If you would like a quote, please click continue.

Participant Accident Medical Costs Reimbursement

Provides reimbursement excess of any other underlying insurance policy for medical expenses arising from accidents incurred during an organizations supervised and sponsored activities.

Injuries are common and purchasing a reimbursement plan can assist with medical bills, co-pays, emergency travel, rehabilitation and more.

Available Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

There Are Three Reimbursement Options To Choose

Plans Take Effect May 1, 2025

🥉

$2,500 Annually

🥈

$5,000 Annually

🥇

$10,000 Annually

Please Let Us know Your Contact Information

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC & Growers Mutual Agency, Inc. Consent not required to purchase.

Business Name

Please specify an answer

Business Address

Please enter a valid address

🥉

$2,500 Annually

Select Your Reimbursement Option

$2,500 Reimbursement for 1 Participant

$2,500 Reimbursement for 2 Participants

$2,500 Reimbursement for 3 Participants

$2,500 Reimbursement for 4 Participants

$2,500 Reimbursement for 5 Participants

🥈

$5,000 Annually

Select Your Reimbursement Option

$5,000 Reimbursement for 1 Participant

$5,000 Reimbursement for 2 Participants

$5,000 Reimbursement for 3 Participants

$5,000 Reimbursement for 4 Participants

$5,000 Reimbursement for 5 Participants

🥇

$10,000 Annually

Select Your Reimbursement Option

$10,000 Reimbursement for 1 Participant

$10,000 Reimbursement for 2 Participants

$10,000 Reimbursement for 3 Participants

$10,000 Reimbursement for 4 Participants

$10,000 Reimbursement for 5 Participants

You Have Selected $10,000 In Annual Medical Reimbursement Costs

The Annual Cost For 1 Participant Is

$85*1

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $88.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $5,000 In Annual Medical Reimbursement Costs

The Annual Cost For 1 Participant Is

$45*1

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $48.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $2,500 In Annual Medical Reimbursement Costs

The Annual Cost For 1 Participant Is

$25*1

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $28.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $10,000 In Annual Medical Reimbursement Costs

The Annual Cost For 2 Participants Is

$85*2

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $176.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $5,000 In Annual Medical Reimbursement Costs

The Annual Cost For 2 Participants Is

$45*2

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $93.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $2,500 In Annual Medical Reimbursement Costs

The Annual Cost For 2 Participants Is

$25*2

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $53.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $10,000 In Annual Medical Reimbursement Costs

The Annual Cost For 3 Participants Is

$85*3

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $263.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $5,000 In Annual Medical Reimbursement Costs

The Annual Cost For 3 Participants Is

$45*3

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $140.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $2,500 In Annual Medical Reimbursement Costs

The Annual Cost For 3 Participants Is

$25*3

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $78.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $10,000 In Annual Medical Reimbursement Costs

The Annual Cost For 4 Participants Is

$85*4

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $350.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $5,000 In Annual Medical Reimbursement Costs

The Annual Cost For 4 Participants Is

$45*4

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $186.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $2,500 In Annual Medical Reimbursement Costs

The Annual Cost For 4 Participants Is

$25*4

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $105.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $10,000 In Annual Medical Reimbursement Costs

The Annual Cost For 5 Participants Is

$85*5

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $438.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $5,000 In Annual Medical Reimbursement Costs

The Annual Cost For 5 Participants Is

$45*5

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $232.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

You Have Selected $2,500 In Annual Medical Reimbursement Costs

The Annual Cost For 5 Participants Is

$25*5

Reimbursement Costs

- Co-Pays (75% of Cost Reimbursed)

- Deductible (50% of Cost Reimbursed)

- Diagnostic Testing

- MRI's

- X-Rays

- Other necessary tests to diagnose the injury

- Emergency Room Visits

- Emergency Lodging and Travel

- Follow-up Doctor Visits

- Counseling if you have suffered from and reported an incident for Sexual Molestation/Abuse

To Purchase Please Complete The Below Questions

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC LLC & Growers Mutual Agency, Inc. Consent not required to purchase.

Mailing Address

Please enter a valid address

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Participant Name

Please specify an answer

Date of Birth

Please select a date.

Current Health Insurance? If No, Type N/A In Fields Below

Health Insurance Company

Please specify an answer

Policy Number

Please specify an answer

Deductible

Please specify an answer

Co-Pay Amount

Please specify an answer

Does The Participant Have Any Current Injuries or Been The Victim of Sexual Molestation or Abuse Prior To Today?

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $130.00 which includes the payment processing fee. You will receive a confirmation email and your plan documents will be emailed to you within 72 hours or before.

Plans DO NOT take effect until May 1, 2025.

Ownership Information

Please choose an option

Individual/Sole Proprietorship

Partnership

Limited Liability Company

Corporation

Trust

Other Entity

What year did you start your business?

Ownership Information

Please choose an option

Individual/Sole Proprietorship

Partnership

Limited Liability Company

Corporation

Trust

Other Entity

What year did you start your business?

General Questions

Do you need a waiver of subrogation?

Do you or any of your employees have a certification in nutrition & dietary supplements?

Are you certified by NASM, NESTA, WITS, YOGA Alliance or any other accredited training program?

Does your business rent or own any permanent location -not including a home based business?

Do you have any employees?

If yes, how many employees?

Please specify an answer

Are any of your employees under the age of 18?

Does your business employ any workers outside your home state?

What is your expected total sales/gross revenue in the next 12 months?

Please specify an answer

General Questions

Do you need a waiver of subrogation?

Do you or any of your employees have a certification in nutrition & dietary supplements?

Are you certified by NASM, NESTA, WITS, YOGA Alliance or any other accredited training program?

Does your business rent or own any permanent location -not including a home based business?

Do you have any employees?

If yes, how many employees?

Please specify an answer

Are any of your employees under the age of 18?

Does your business employ any workers outside your home state?

What is your expected total sales/gross revenue in the next 12 months?

Please specify an answer

Underwriting/Warranty of Coverage Questions

Do you currently have insurance?

If yes, has your insurance coverage been cancelled, revoked or non-renewed in the past three years? (Other than cancellation for non-payment or non-renewed for discontinuation of program)

Do you require ALL of your clients to sign a waiver? (Parents or legal guardians must sign for anyone under 18 years of age)

Has your business or any of its officers, owners or partners...(Select all that apply)

Been convicted of a felony in the past five years?

Declared bankruptcy in the past three years?

Has business related lawsuits, mediations or artribations filed against them?

Had claims, allegations or charges of abuse, molestation or sexual misconduct?

Became aware of ANY losses, accidents, or circumstances that mights give rise to a claim against THIS policy?

None of the above statements

Have there been any insurance claims filed by or against your business in the past three years?

By checking this box you are confirming ALL the following statements are true and accurate.

*you only employ people that have passed a third party backgroun check and;

*you maintain up-to-date documentation of ALL background check reults for employees and subcontractors and;

*no employees or subcontrators have any claims, allegations, or charges of abuse, molestation or sexual misconduct.

Underwriting/Warranty of Coverage Questions

Do you currently have insurance?

If yes, has your insurance coverage been cancelled, revoked or non-renewed in the past three years? (Other than cancellation for non-payment or non-renewed for discontinuation of program)

Do you require ALL of your clients to sign a waiver? (Parents or legal guardians must sign for anyone under 18 years of age)

Has your business or any of its officers, owners or partners...(Select all that apply)

Been convicted of a felony in the past five years?

Declared bankruptcy in the past three years?

Has business related lawsuits, mediations or artribations filed against them?

Had claims, allegations or charges of abuse, molestation or sexual misconduct?

Became aware of ANY losses, accidents, or circumstances that mights give rise to a claim against THIS policy?

None of the above statements

Have there been any insurance claims filed by or against your business in the past three years?

By checking this box you are confirming ALL the following statements are true and accurate.

*you only employ people that have passed a third party backgroun check and;

*you maintain up-to-date documentation of ALL background check reults for employees and subcontractors and;

*no employees or subcontrators have any claims, allegations, or charges of abuse, molestation or sexual misconduct.

Quote Proposal

Included Coverages

$1,000,000 Per Occurrence Liability

$2,000,000 Aggregate Liability Limit

$100,000 Damage To Rented Premises Coverage-Fire Legal Liability

$15,000 Medical Expense-Per Person Limit

$100,000 Sexual Molestation & Abuse Occurrence and Aggregate Limit

Total Annual Premium $460.00

Premium: $392.00

Company Service Fee: $47.88

Processing Fee: $20.12

What date would you like coverage to become effective?

Please select a date.

By checking this box you are agreeing to purchase general liability coverage for a total premium of $460.00. You can cancel coverage at any time, however 25% of the Premium is fully earned and 100% of the Company Service Fee and Broker Fee are fully earned.

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC & Growers Mutual Agency, Inc. Consent not required to purchase.

Business Name

Please specify an answer

Business Address

Please enter a valid address

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $460.00. You will receive a confirmation email and your coverage documents will be emailed to you within 72 hours or before.

Quote Proposal

Included Coverages

$2,000,000 Per Occurrence Liability

$4,000,000 Aggregate Liability Limit

$100,000 Damage To Rented Premises Coverage-Fire Legal Liability

$15,000 Medical Expense-Per Person Limit

$100,000 Sexual Molestation & Abuse Occurrence and Aggregate Limit

Total Annual Premium $460.00

Premium: $392.00

Company Service Fee: $47.88

Processing Fee: $20.12

What date would you like coverage to become effective?

Please select a date.

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

I consent to texts, automated texts, and emails about products & services from CDAGCC & Growers Mutual Agency, Inc. Consent not required to purchase.

Business Name

Please specify an answer

Business Address

Please enter a valid address

Please type your full legal name

Please specify an answer

Signature

Please enter your payment information below. Your card will be charged $460.00. You will receive a confirmation email and your coverage documents will be emailed to you within 72 hours or before.

@fname, We are in receipt of your payment and request for coverage.

You will receive an email from us with further confirmation and with coverage documentation will be sent within 72 hours.

Thank you for your interest and should you have any questions, please contact us at info@cdagcc-care.com

@fname, We are in receipt your request. We will contact you within 1 business day or schedule a time more conveinent for you by using the calendar below.

Thank you for your interest and should you have any questions, please contact us at info@cdagcc-care.com

@fname, We are in receipt of your payment for medical reimbursement costs.

You will receive an email within 72 hours with your plan documentation.

Thank you for your interest and should you have any questions, please contact us at info@cdagcc-care.com