HORSE----------
Equine Mortality Coverage
Coverage is provided for death as a result of injury, illness, humane destruction and transportation anywhere in the continental United States. Coverage can be extended to include other countries and international transportation.
Please contact us with any questions on coverage, applications, forms or to receive a quote.
(Applications and forms can be downloaded below.)

Annual Premium rate is based on:
• Breed
• Use
• Age

Following Endorsements are available to Mortality policy:
1. Major Medical & Surgical
Cover is provided for the reasonable and customary cost of all medical & surgical procedures.
Option 1: $8,000 limit, $375.00 deductible – Annual Premium: $266.00
Option 2: $10,000 limit, $375.00 deductible – Annual Premium $371.00

2. Surgical Only
Provides coverage for the actual cost of surgery and additionally pays up to 25% of the cost of surgery for medication and additional expenses.
$5,000 limit, $50.00 deductible – Annual Premium: $147.00

3. Loss of Use (Injury Only)-Not available for all breeds & Uses
This coverage is available in the event that your horse is permanently unable to perform its function as a result of an external accident or violent injury. Provides payment of up to 60% of the amount of insured value on the mortality policy. Rates are based on use, sex and age.
BREEDING IS NOT COVERED UNDER LOSS OF USE.

4. Stallion A.S. & D.
In the event your proven stud becomes permanently incapable of impregnating mares as a result of accident, sickness or disease, you will receive payment not to exceed the amount of indemnity due under the mortality policy. Coverage is charged at a rate of .5% of the stallions insured amount. Note: this coverage requires a satisfactory fertility examination by a certified veterinarian.

Named Perils Policy
This policy covers death as a direct result of fire, lightning, explosion, or resultant smoke, plus other coverage including a peril of transportation, windstorm, earthquake or flood. Death by visible means only.




Horse Applications / Forms
Applications and forms are available to view and download at your convenience from this page or from the Applications & Forms menu on the left.

All forms require various signatures. They must be printed from your computer, signed as appropriate, and mailed or faxed to Prairie States Insurance Agency Inc. Please contact us for we are glad to answer any questions and provide any help with completing applications and forms.

Horse (Mortality Forms)
Equine Mortality Insurance Application
Equine Veterinary Certificate of Examination

Horse Mortality Informational forms
AEIG Mortality Coverages description
AEIG Mortality Coverages description04.01.09.
AEIG $7500 Maj Med End

Horse (Liability Forms)
Commercial Equine Liability Application



Instructions:
Click on a .pdf file above, it will automatically open Adobe Reader on your computer.* Click on the printer icon in the menu bar and print a copy of the form. After completing the form and signing please fax it to 405-235-5225 or scan the completed and signed form and email it to Deborah at Deborah_Gale@prairiestatesinsurance.com .

*If you do not have the free Adobe Reader Program click on the image above to download the virus free, industry standard program to your computer.