The application requires a six (6) step process. Each
step (except for Steps 1 & 6) will require that you accept the terms to
become a owner/insured of the Lone Star Risk Retention Group, Inc. Please read
each document carefully. At the end of each document, you will be required to
accept the terms disclosed in that document and click accept in order to move
to the next step. The following are the six (6) steps:
|
|
Step 1.
|
Select Agent: Only three (3) insurance
agents have been approved by Lone Star Risk Retention Group, Inc. to market its
plan. It is required that you pick one of the three agents listed on this site.
|
|
|
|
Step 2.
|
Read Information Circular and provide electronic signature:1
Outlines the technical aspects of the organization and the risks involved, read
it carefully. This document must be signed (via electronic signature).
|
|
|
|
Step 3.
|
Read Subscription Agreement and provide electronic
signature:1 Sets out the Company's terms for
purchasing stock and your acceptance of the conditions. Once this document is
reviewed, please sign (via electronic signature). A check in the amount of $55
per licensed bed located within the facility to be insured must be sent to Lone
Star Risk Group, Inc. This represents the payment for shares of the Company.
All checks must be made payable to Lone Star Risk Retention, Inc. This document must be signed (via electronic
signature).
|
|
|
|
Step 4.
|
Read Voting Agreement and Irrevocable Proxy and provide
electronic signature:1 Authorizes a Proxy to
vote your shares at its discretion regarding the operations of the Company.
This document must be signed (via electronic signature).
|
|
|
|
Step 5.
|
Fill-out Application and provide electronic signature.1
The application must be completely filled out to be reviewed by the Company's
underwriting committee. In addition, all required information asked within the
application, if applicable, must accompany the application. These required
items will be outlined in step 6. This document must be signed (via electronic
signature).
|
|
|
|
Step 6.
|
Submit any remaining required documents: This
Step generates a letter outlining the agent you selected, an application
reference number, and lists all documentation/information/other items required
to be submitted to Lone Star Risk Retention Group, Inc.
|
|
|
|
|
1Your application for insurance and
your agreement to be bound by the terms and conditions of the various documents
and agreements posted on this web site through the electronic processes and
electronic agents provided herein constitute one or more "transactions" within
the meaning of the Texas Uniform Electronic Signatures Act (the "Act"). By
using the electronic processes and electronic agents provided through this web
site, you are (i) agreeing to conduct each transaction by electronic means
pursuant to and in accordance with the terms and conditions of the Act, (ii)
intending for each such use to constitute your electronic signature within the
meaning of the Act and to signify your intent to be bound by all of the terms
and conditions to which such electronic signature relates; and (iii)
acknowledging that, subject to the terms and conditions of the various
documents and agreements posted on this web site, use of such electronic
processes and electronic agents will complete each transaction and create
legally valid and binding obligations, enforceable against you in accordance
with the terms and conditions of such transaction.
No insurance may be bound until all of the items listed above are complete and
approved by the Company.
|
|
|
Click here to begin step 1
|