Request a policy change

For current clients. Describe the change and when you need it to take effect. A licensed agent reviews it, asks for anything missing, and confirms in writing once the carrier has processed it.

Your policy

So we can find the policy and reach you with questions.

Insured or business name (required)Exactly as it appears on the policy.

Policy number (required)On your policy summary page (the declarations page) or ID card.

Your name (required)

Email (required)

Phone (required)

The change

One request per policy. If the change touches several policies, send one request for each.

Line of business (required)

Type of change (required)

Requested effective dateLeave blank for as soon as possible.

Describe the change (required)Include the details listed in the panel above. The more complete this is, the fewer questions we have to ask.

This is a request, not a change. Submitting this form does not change your policy, issue a certificate or bind coverage. A licensed agent reviews every request and confirms it in writing. If something is urgent, call 612-438-3377.

I understand this is a request only. Nothing is bound or changed until Betters Insurance confirms it in writing. (required)

We reply by email during business hours.