plmr.com
Open in
urlscan Pro
141.193.213.21
Public Scan
URL:
https://plmr.com/agents-brokers/
Submission: On October 06 via manual from US — Scanned from DE
Submission: On October 06 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST /agents-brokers/#gf_3
<form method="post" enctype="multipart/form-data" id="gform_3" class="contactForm recaptcha-v3-initialized" action="/agents-brokers/#gf_3" data-formid="3" data-hs-cf-bound="true">
<div class="gf_invisible ginput_recaptchav3" data-sitekey="6Lc2vqsiAAAAAFFMgk0Y-QzQb0kUeBoXw18Kbhjn" data-tabindex="0"><input id="input_9816e4dd132d53548b6d471422220b34" class="gfield_recaptcha_response" type="hidden"
name="input_9816e4dd132d53548b6d471422220b34" value=""></div>
<div class="gform-body gform_body">
<ul id="gform_fields_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_3_5" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_5"><label
class="gfield_label gform-field-label" for="input_3_5">I have a question about<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_5" id="input_3_5" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">I have a question about...</option>
<option value="Products">Products</option>
<option value="Palomar Protects">Palomar Protects</option>
<option value="PASS">PASS</option>
<option value="Claims">Claims</option>
<option value="Investor Relations">Investor Relations</option>
<option value="Careers">Careers</option>
<option value="Media">Media</option>
<option value="General">General</option>
</select></div>
</li>
<li id="field_3_1" class="gfield gfield--type-name field_sublabel_hidden_label gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_1"><label
class="gfield_label gform-field-label gfield_label_before_complex">Name</label>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_3_1">
<span id="input_3_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_3_1_3" value="" aria-required="false" placeholder="First Name">
<label for="input_3_1_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_3_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_3_1_6" value="" aria-required="false" placeholder="Last Name">
<label for="input_3_1_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</li>
<li id="field_3_2" class="gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_2"><label class="gfield_label gform-field-label"
for="input_3_2">Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_2" id="input_3_2" type="text" value="" class="large" placeholder="Phone" aria-invalid="false"></div>
</li>
<li id="field_3_3" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_3"><label
class="gfield_label gform-field-label" for="input_3_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_3_3" type="text" value="" class="large" placeholder="Email" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_3_4" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_4"><label
class="gfield_label gform-field-label" for="input_3_4">Message<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_3_4" class="textarea medium" placeholder="Message" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_3_6" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_3_6"><label class="gfield_label gform-field-label"
for="input_3_6">CAPTCHA</label>
<div id="input_3_6" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdTQCEaAAAAABTg3GC35TlZcjpLlZ_KcioVuvy8" data-theme="light" data-tabindex="-1" data-size="invisible" data-badge="inline">
<div class="grecaptcha-badge" data-style="inline" style="width: 256px; height: 60px; box-shadow: gray 0px 0px 5px;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-2t0ca7qm4s32" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdTQCEaAAAAABTg3GC35TlZcjpLlZ_KcioVuvy8&co=aHR0cHM6Ly9wbG1yLmNvbTo0NDM.&hl=de&v=lLirU0na9roYU3wDDisGJEVT&theme=light&size=invisible&badge=inline&cb=g7dkuri2a4sk"
tabindex="-1"></iframe></div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_3" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_3"]){return false;} window["gf_submitting_3"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_3"]){return false;} window["gf_submitting_3"]=true; jQuery("#gform_3").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_3" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="3">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_3" value="WyJbXSIsIjE1OWE0OGUxN2Y3MWFjMTVmNTQwNTViMWQxMzFhNzQ3Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_3" id="gform_target_page_number_3" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_3" id="gform_source_page_number_3" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>
GET https://plmr.com/
<form method="get" id="searchform" action="https://plmr.com/" data-hs-cf-bound="true">
<input type="text" name="s" class="taptap-search-field" placeholder="enter search term">
</form>
Text Content
Skip to content * PRODUCER PASS LOGIN * Make a Payment * Become an Agent * Products * Agents & Brokers * Policyholders * Investors * ESG * Resources * About Select Page * Products * Agents & Brokers * Policyholders * Investors * ESG * Resources * About * PRODUCER PASS LOGIN * Make a Payment * Become an Agent AGENTS & BROKERS An Innovative, Collaborative Partnership Palomar offers customized products through an exclusive network of insurance agents and brokers to provide individuals and businesses with comprehensive insurance protection for earthquakes, hurricanes, floods and other perils. Creative problem solving is our sweet spot. With every challenge, we collaborate with partners to listen, find solutions and create innovative products. We’re your go-to source for key information and tools that provide more efficient service to our partners and policyholders. Our producer portal and policy issuance system that allows producers to submit, quote, bind and endorse policies. Pass login Whether you are an Agent, Broker or Policyholder, our online payment system provides a secure and safe solution. Make a payment We want to make becoming a producer an easy process—submit the form and we’ll be in touch to get started. Become an agent HOW TO SUBMIT, QUOTE, BIND, AND ENDORSE A POLICY PASS HOW TO VIDEOS HURRICANE FLEX CHOICE EARTHQUAKE RESIDENTIAL FLOOD RESIDENTIAL EARTHQUAKE ACCESS OUR PRODUCTS & COVERAGES COMMERCIAL RESIDENTIAL PROGRAMS CLAIMS STARTING THE CLAIM PROCESS FIRST NOTICE OF LOSS PALOMAR To Report a claim » Click Here to complete an online form or email Claims@plmr.com PALOMAR EXCESS & SURPLUS INSURANCE COMPANY To Report a claim » Click Here to complete an online form or email ESClaims@plmr.com Once a claim has been submitted, a claim number will be assigned and our team will begin the process. You will be contacted within 24 hours of your file being reviewed and provided an assignment date. WELLINGTON TEXAS HOMEOWNERS & DWELLING FIRE CLAIMS To Report a claim » In Event of Loss CABRILLO HOMEOWNERS CLAIMS To Report a claim » Click Here CONTACT US CONTACT FORM * I have a question about* I have a question about...ProductsPalomar ProtectsPASSClaimsInvestor RelationsCareersMediaGeneral * Name First Last * Phone * Email* * Message* * CAPTCHA About Careers Become an agent Contact Us Resources Products Commercial Residential Programs Fronting ESG Licenses Moratoriums Producer Pass Login Make a Payment Agents & Brokers Policyholders Investors Financial Strength Connect With Us * LinkedIn © Palomar Holdings, Inc. All Rights Reserved. | Ad & Cookie Policy | Legal & Privacy | Anti-Corruption Policy | AML Program * Become an Agent * PRODUCER PASS LOGIN * Make a Payment * Products * Agents & Brokers * Policyholders * Investors * ESG * Resources * About Notifications