Claim Form – Florida Insurance Guaranty Association

Let Us Help With Your Claim

Help With a Claim Questionnaire

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How can we help you?

I am inquiring about a premium refund.

I have a claim against an insolvent insurance company.

I am a FIGA insurance company.

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Choose from the listed insolvent companies

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Which do you need to do?

I need help on my claim

I need to update my name and/or address.

I need to report a new claim.

I'd like to reopen a claim.

Inquiring about a premium refund

Please fill out this form and we will contact you.

Your Current Name(Required)

First Last

Your Phone Number(Required)

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

name address change

Name/Address Change

Your New Name(Required)

First Last

New Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Claim against an insolvent insurance company

Get Help with Your Claim

Your Name(Required)

First Last

Your Phone Number(Required)

Policy Number(Required)

Claim Number(Required)

Date of Loss(Required)

Get Help with Your Arrowood Claim

Please fill out this form and we will contact you.

Your Name(Required)

First Last

Your Phone Number(Required)

Claim Number(Required)

Policy Number(Required)

Date of Loss(Required)

Comments

Get Help with Your Bedivere Claim

Read the information located here

Your Name(Required)

First Last

Policy Number(Required)

Claim Number(Required)

Date of Loss(Required)

Comments

Get Help with Your Lighthouse Claim

Please fill out this form and we will contact you.

Your Name(Required)

First Last

Claim Number(Required)

Policy Number(Required)

Date of Loss(Required)

Comments

Update my name and/or address (Arrowood)

Please fill out this form and we will contact you.

Previous Name(Required)

First Last

New Name(Required)

First Last

Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Update my name and/or address (Bedivere)

Read the information located here

Previous Name(Required)

First Last

New Name(Required)

First Last

Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Update my name and/or address (Lighthouse)

Please fill out this form and we will contact you.

Previous Name(Required)

First Last

New Name(Required)

First Last

Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Report a new claim (Arrowood)

Please fill out this form and we will contact you.

Your Name(Required)

First Last

Your Email

Your Phone Number(Required)

Policy Number(Required)

Date of Loss(Required)

Carrier(Required)

Description of Loss

Report a new claim (Bedivere)

Read the information located here.
Then click this link for the form
Follow the instructions, and email the filled-out form to Bedivereliquidation@agrminc.com and FIGAClaimsWorkflow@agfgroup.org.

Report a new claim (Lighthouse)

Please fill out this form and we will contact you.

Your Name(Required)

First Last

Your Email

Your Phone Number(Required)

Policy Number(Required)

Date of Loss(Required)

Carrier

Description of Loss

Reopen a claim

Your Name(Required)

First Last

Your Email

Your Phone Number(Required)

Policy Number(Required)

Claim Number(Required)

Date of Loss(Required)

Reopen a claim (Arrowood)

Your Name(Required)

First Last

Your Email

Your Phone Number(Required)

Claim Number(Required)

Policy Number(Required)

Date of Loss(Required)

Comments

Report a new claim (Bedivere)

Read the information located here.
Follow the instructions, and email the filled-out form to Bedivereliquidation@agrminc.com and FIGAClaimsWorkflow@agfgroup.org.

Reopen a claim (Lighthouse)

Your Name(Required)

First Last

Your Email

Your Phone Number(Required)

Policy Number(Required)

Claim Number(Required)

Date of Loss(Required)

Comments

Let Us Help With Your Claim

Help With a Claim Questionnaire

Inquiring about a premium refund

Claim against an insolvent insurance company

Get Help with Your Claim

Get Help with Your Arrowood Claim

Get Help with Your Bedivere Claim

Get Help with Your Lighthouse Claim

Update my name and/or address (Arrowood)

Update my name and/or address (Bedivere)

Update my name and/or address (Lighthouse)

Report a new claim (Arrowood)

Report a new claim (Bedivere)

Report a new claim (Lighthouse)

Reopen a claim

Reopen a claim (Arrowood)

Report a new claim (Bedivere)

Reopen a claim (Lighthouse)

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