Welcome to the Assurance Pricing Program submission portal. Please enter the information requested and upload the Excel document provided in your instructional email, without making any changes to the file’s format. After upload is complete, please check your email for a confirmation of your submission. Thank you for participating.

Accepted file types: xls, xlsx, Max. file size: 50 MB.

Submit the most current Assurance Program Excel file ONLY. Any other file you upload will not register in our system, despite the fact that you will receive a confirmation of a successful submission. If you do not have the latest version, contact your local rep.

This field is for validation purposes and should be left unchanged.
Thank you for your participation.