Last Updated: 7.17.2021

Licensing and Carrier Information; Producer Compensation Disclosure

Licensing Information

It is generally a requirement that any person who sells, solicits or negotiates insurance transactions be licensed in every state in which they operate. Our licensure status on a state-by-state basis is set forth below.
Any solicitations to apply for insurance and applications for insurance are made through Leap Insurance Agency LLC via its Manager and Designated Responsible Licensed Producer, whose licensure status is listed below.

Alabama
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3001378713
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3000493302

Arizona
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 19067547
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker 3000384205

Arkansas
Individual- Insurance Producer: Property, Casualty, Surplus Lines Producer, 19067547
Business Entity- Insurance Producer: Property, Casualty, 3000547228

California
Individual- Insurance Producer: Property Broker-Agent, Casualty Broker-Agent, Surplus Lines Broker, 0M43735
Business Entity- Non-Resident Insurance Producer: Property Broker-Agent, Casualty Broker-Agent, Surplus Lines Broker, 0M58313

Colorado
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 698386
Business Entity- Property, Casualty, Surplus Lines, 588396

Connecticut
Individual- Insurance Producer: Property, Casualty, Travel, Credit, 002730634; Surplus Lines 002730754
Business Entity- Insurance Producer: Property, Casualty, Credit, Travel, 002610353; Surplus Lines, 002610912

Delaware
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker: Property, Casualty, 3001374441
Business Entity- Insurance Producer, Surplus Lines Broker, 3000547229

District of Columbia
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 3001376956
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines, 3000440066

Florida
Individual- Agent: General Lines, Surplus Lines, W552657
Business Entity- Agency: Non-Resident L105718

Georgia
Individual- Non-Resident: Property, Casualty, Surplus Lines Broker-Non-Resident, Property, Casualty, 3295205
Business Entity- Principal Agency Non-Resident: Principal Agency-Property, Principal Agency-Casualty, 204245

Idaho
Individual- Non-Resident Producer: Property, Casualty, 860107, Non-Resident Surplus Lines Broker, 860137
Business Entity- Non-Resident Producer: Property, Casualty, 720647

Illinois
Individual- Insurance Producer: Property, Casualty, Surplus Lines Producer, 19067547
Business Entity- Business Entity Producer, 3000388062

Iowa
Individual- Insurance Producer: Property, Casualty, Surplus Lines Producer, 19067547
Business Entity- Business Entity Producer, Business Entity Surplus Lines Producer, 1002341235

Indiana
Individual- Producer – Individual: Property & Casualty, 3690217, Surplus Lines, 3688866
Business Entity- Producer – Organization (Corp): Property & Casualty, 3419954

Kansas
Individual- Agent: Property, Casualty, Personal Lines, Crop, Excess Lines, 19067547
Business Entity- Agency, 301029194-0

Kentucky
Individual- Agent: Property, Casualty, Surplus Lines Broker, DOI- 1142741
Business Entity- Agent: Property, Casualty, Surplus Lines Broker, DOI-1037950

Louisiana
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 948394
Business Entity- Producer Agency: Property, Casualty, Surplus Lines, 818816

Maine
Individual- Producer (Nonresident): Property, Casualty, Surplus Lines, PRN387372
Business Entity- Non-Resident Producer Business Entity, AGN330204

Maryland
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3001374431
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3000428684

Massachusetts
Individual- Individual Producer: Property, Casualty, 2155187; Surplus Lines Broker: Property & Casualty, 2155300
Business Entity- Business Entity Producer: Property, Casualty, 2108663; Surplus Lines Broker: Property & Casualty, 2108683

Michigan
Individual- Non-Resident Producer: Property, Casualty, Non-Resident Surplus Lines, 19067547
Business Entity- Non-Resident Producer: Property, Casualty, 0117240

Minnesota
Individual- Insurance Producer: Property, Casualty, 40749575; Surplus Lines, 40749734
Business Entity- Business Producer, 40628796

Mississippi
Individual- Insurance Producer: Property, Casualty, Surplus Lines Insurance Producer, 10767359
Business Entity- Insurance Producer Entity, 15035339

Missouri
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 3001374438
Business Entity- Business Entity Producer, 8471504

Montana
Individual- Insurance Producer: Property, Casualty, Surplus Lines Producer, 3001375169
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Producer, 3000519297

Nebraska
Individual- Insurance Producer: Property, Casualty, Producer Surplus Lines, 19067547
Business Entity- Agency, Agency-Surplus Lines, 300547276

Nevada
Individual- Non-Resident Producer/Producer Firm: Property, Casualty, 3431670, Non-Resident Surplus Lines Broker, 3432372
Business Entity- Non-Resident Producer/Producer Firm, 3434746

New Hampshire
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 19067547
Business Entity- Insurance Producer- P & C, Surplus Lines, 2434682

New Jersey
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 3001363096
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines, 1670972

New Mexico
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 19067547
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3000564492

New York
Individual- Property/Casualty Agent: Property, Casualty, PC- 1671141; Broker: Property, Casualty, BR-1504844; Excess Lines, EX-1504844
Business Entity- Property/Casualty Agent: Property, Casualty, PC-1515086; Broker: Property, Casualty, BR-1515086; Excess Lines, EX-1515086

North Carolina
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 19067547
Business Entity- Surplus Lines Business Entity, 301029194

North Dakota
Individual- Insurance Producer: Property, Casualty, Surplus Lines Producer, 19067547
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Producer 3000533683

Ohio
Individual- Major Lines: Property, Casualty, 1370420; Surplus Lines 1230049
Business Entity- Major Lines: Property, Casualty, 1232440; Surplus Lines 1234934

Oklahoma
Individual- Insurance Producer: Property, Casualty, 3001375173
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3000533687

Oregon
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 19067547
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines, 3000405749

Pennsylvania
Individual- Non-Resident Producer Individual: Property & Allied Lines, Casualty & Allied Lines, 1010433; Non-Resident Surplus Lines Producer, 896869
Business Entity- Non-Resident Producer Agency: Property & Allied Lines, Casualty & Allied Lines, 876627; Non-Resident Surplus Lines Agency, 897833

Rhode Island
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3001375203
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 3000547283

South Carolina
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 19067547
Business Entity- Agency, 191910811

Tennessee
Individual- Insurance Producer: Property, Casualty, Surplus Lines Agent, 3001375263
Business Entity- Business Entity Producer, 2422311

Texas
Individual- General Lines Agency/Agent: Property & Casualty, 2690488; Surplus Lines Agency/Agent: 2691157
Business Entity- General Lines Agency/Agent: Property & Casualty, 2342580; Surplus Lines Agency/Agent: 2342577

Utah
Individual- Non-Resident Producer: Property, Casualty, 860259; Non-Resident Surplus Lines Producer Individual, 712170
Business Entity- Non-Resident Producer: Property, Casualty, 713196; Non-Resident Surplus Lines Organization: Property, Casualty, 713197

Vermont
Individual- Non-Resident Producer Individual: Property, Casualty, 3689466
Business Entity- Non-Resident Producer Business Entity, 3435360

Virginia
Individual- Insurance Producer: Property & Casualty, 1245724
Business Entity- Insurance Producer: Property & Casualty, Surplus Lines Broker, 144889

Washington
Individual- Insurance Producer: Property, Casualty, Surplus Lines Broker, 993398
Business Entity- Insurance Producer: Property, Casualty, Surplus Lines Broker, 993875,

West Virginia
Individual- Insurance Producer: Property, Casualty, Surplus Lines, 19067547
Business Entity- Business Entity, 100300310

Wisconsin
Individual- Intermediary (Agent) Individual: Property, Casualty, Surplus Lines, 19067547
Business Entity- Intermediary Firm, 3000533704

Producer Compensation Disclosure

Leap Insurance Agency LLC receives compensation from insurance carriers based on the type and amount of insurance coverage sold and the amount of premium dollars paid.
At your request, we will provide further information about the compensation we expect to receive for your purchase of a specific insurance policy through us.

Important Notice For Victims Of Domestic Violence In New York

YOUR RIGHTS AS A CUSTOMER OF LEAP INSURANCE AGENCY LLC.

New York Insurance Law §2612 provides important protections for victims of domestic violence. These protections include prohibiting any individual, insurer or entity supervised by the New York Department of Financial Services from taking certain actions against individuals based solely on their status as a current or former victim of domestic violence. The law also establishes processes an individual, insurer or entity supervised by the New York Department of Financial Services must follow to protect the confidentiality of a person covered under a policy of insurance when that person properly presents a valid order of protection obtained against the policyholder as further explained below.

If a person covered by an insurance policy issued to another person as the policyholder delivers a valid order of protection against the policyholder or any other person, each individual, insurer or entity supervised by the New York Department of Financial Services is prohibited for the duration of the order from disclosing to the policyholder the address and telephone number of the insured, or of any person or entity providing covered services to the insured. If a child is the covered person under the policy, this right extends to the child’s parent or guardian.

If you are a customer Leap Insurance Agency, LLC and wish to initiate a request for confidentiality in connection with a valid order of protection, please contact us by phone or send a copy of the valid order of protection to:
Leap Insurance Agency, LLC, 111 Town Square Pl, Ste 1210, Jersey City, New Jersey, 07310
Phone: (800) 898-5309
Fax:

Along with your request, you may provide us with an alternative address, telephone number or other method by which to contact you. You may revoke your request at anytime by sending a letter to the address above.

We will implement your request within three (3) business days of our receipt. Once implemented we will not share your name, address, social security number or any other information from which there is a reasonable basis to believe the foregoing could be obtained, to the policyholder or other insured covered under the same policy against whom you have a valid order of protection, without your express consent.

The description of New York Insurance Law Section 2612 provided above is only a summary of the law. The complete text is available on the New York State Legislature’s website.

NEW YORK STATE DOMESTIC AND SEXUAL VIOLENCE HOTLINE

To obtain information on domestic violence resources in your community, call the NYS Domestic and Sexual Violence Hotline at:

English: 1-800-942-6906

Spanish: 1-800-942-6908

In NYC: 1-800-621-HOPE (4673) or dial 311

TTY: 1-866-604-5350

Fraud Warning

General Notice

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any material fact thereto, commits a fraudulent insurance act, and may be subject to fines, restitution, or confinement in prison, or any combination thereof.

The specific fraud warnings listed below are applicable in the following states: AL, AK, AZ, AR, CA, CO, DE, DC, FL, IN, KY, LA, ME, MD, MN, NH, NJ, NM, NY, OH, OK, OR, PA, RI, TN, TX, VA, WA and WV. If you are located in one of these states, please take time to review the appropriate warning prior to submitting your application or claim.

ALABAMA:

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution, fines, or confinement in prison, or any combination thereof.

ALASKA:

Any person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or misleading information may be prosecuted under state law.

ARIZONA:

For your protection, Arizona law requires the following statement: Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.

ARKANSAS:

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

CALIFORNIA:

For your protection, California law requires the following statement: Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.

COLORADO:

It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.

DELAWARE:

Any person who knowingly, and with intent to injure, defraud or deceive any insurer, files a statement of claim containing any false, incomplete or misleading information is guilty of a felony.

DISTRICT OF COLUMBIA:

WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant.

FLORIDA:

Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.

INDIANA:

A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony.

KENTUCKY:

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime.

LOUISIANA:

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

MAINE:

It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.

MARYLAND:

Any person who knowingly and willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

MINNESOTA:

A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.

NEW HAMPSHIRE:

Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20.

NEW JERSEY:

Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.

NEW MEXICO:

ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES.

NEW YORK:

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

OHIO:

Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

OKLAHOMA:

WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.

OREGON:

Any person who knowingly and with intent to defraud or solicit another to defraud an insurer: (1) by submitting an application, or (2) by filing a claim containing a false statement as to any material fact thereto, may be committing a fraudulent insurance act, which may be a crime and may subject the person to criminal and civil penalties.

PENNSYLVANIA:

Any person who knowingly and with intent to injure or defraud any insurer files an application or claim containing any false, incomplete or misleading information shall, upon conviction, be subject to imprisonment for up to seven years and a fine of up to $15,000.

RHODE ISLAND:

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

TENNESSEE:

It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

TEXAS:

Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.

VIRGINIA:

It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

WASHINGTON:

It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines, or denial of insurance benefits.

WEST VIRGINIA:

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

General Notice of Insurance Practices and Use of Consumer Reports

In order to evaluate your eligibility for insurance coverage with us and to determine the correct premium to charge you, we may order one or more reports provided by independent consumer reporting agencies.

All reports are kept strictly confidential. Where scores are used, they are processed automatically in Leap’s electronic underwriting algorithm to determine a risk tier used in calculating your premium. The information we obtain will be used only for underwriting purposes. We may access future reports in connection with an update, renewal, extension, cancellation, or non-renewal of your insurance coverage.

Upon request, we will provide you with the name, address, and telephone number of any consumer reporting agency that furnishes us with your report. These consumer reporting agency scores do not take into account income, race, gender, religion, marital status, national origin or geographic location.

Specific Use of Credit and Consumer Information in Lease Guaranty Surety Policy and Tenant Lease Rental Bond

Leap’s products are surety products. They are supplemental guaranties made to property owners and managers that you can meet the obligations of your lease. They have characteristics of a credit product based on your financial profile. For these reasons, additional information about your income, employment history, personal assets, and citizenship/visa status may be collected. The information we are collecting is necessary to verify information about you and to determine your eligibility and the correct premium to charge you for these products.

Your financial profile and creditworthiness are the primary factors in determining eligibility. We obtain your credit score from Experian PLC. This inquiry may affect your credit score. Experian can provide a free copy of your credit report, and if you believe that report is inaccurate, they can respond to disputed items, but Experian cannot comment on your Lease Guaranty Surety Policy or Tenant Lease Rental Bond application.

Experian PLC

475 Anton Boulevard

Costa Mesa, CA 92626

1 (877) 284-7942

No information related to race, color, religion, national origin, actual or perceived gender (including gender identity), marital status, sexual orientation, disability, age, lawful occupation, presence of children, lawful source of income (including public assistance), or any other aspect of a protected Federal, state or locally protected class is used to determine eligibility or calculation of premiums.

Other Applicable Laws

Fair Housing Act

The Fair Housing Act prohibits discrimination in the sale, rental, and financing of dwellings, and in other housing-related transactions, based on race, color, national origin, religion, sex, familial status, and disability.

Americans with Disabilities Act

The Americans with Disabilities Act prohibits discrimination and ensures equal opportunity for persons with disabilities in employment, state and local government services, public accommodations, commercial facilities, and transportation.

Equal Credit Opportunity Act

The Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age, because an applicant receives income from a public assistance program, or because an applicant has in good faith exercised any right under the Consumer Credit Protection Act.

State and Local Laws

State and local laws often provide broader coverage and prohibit discrimination based on additional classes not covered by Federal law.

Consent to Electronic Communications and Signatures

Under the terms of The Electronic Signatures in Global and National Commerce Act of 2000, you are providing consent to electronic transactions, including providing you with insurance policy documents electronically by submission of an application and payment of premium. You will receive all of your insurance policy documents from us electronically, as permitted by law. Insurance policy documents in electronic format will have the same contractual force and effect as insurance policy documents in paper format.

The notices or documents or categories of notices or documents that may be delivered by electronic means during the course of your relationship with us include the following:

• Declarations Page
• Policy documents, including any applicable endorsements
• Renewal Notice
• Cancellation Notice
• Non-Renewal Notice
• Other Important Notices
• Other state-specific notices

Where any policy document or notice is required to be mailed by state law, it will be mailed to you although you may also receive an electronic copy as a courtesy.

At any time, you may access insurance policy documents electronically. In order to access documents electronically, you must have: (i) a computer or smart device capable of connecting to the internet; (ii) internet service; (iii) a browser capable of viewing our website or the Leap app; (iv) an e-mail service account that allows you to read, write, and send e-mail; and (v) the ability to use hyperlinks to access other websites (collectively referred to as the “Technical Requirements”). You must have the Technical Requirements to download, display, print, and retain insurance policy documents in Adobe Portable Display Format. Once you purchase your policy, you will be given the opportunity to download a free copy of Adobe Reader so that you can view insurance policy documents in Adobe Portable Display Format. If you do not have the Technical Requirements, you cannot receive insurance policy documents electronically.

To update information needed to contact you electronically (your email address), simply email us at heretohelp@leapeasy.com or call (800) 898-5309.

To withdraw your consent, please contact us call us at (800) 898-5309 or by email heretohelp@leapeasy.com with the following subject line: WITHDRAW ELECTRONIC CONSENT. The body of your e-mail must contain your name, policy number, effective and expiration dates of the policy, the effective date of your withdrawal and whether you want (a) all communications to be in paper form and (b) your insurance policy to be sent to you in paper form.