Thank you for your interest in self insured insurance.
Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.
Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.
Per the terms of our online privacy policy we will not resell your information to any third-party.
Cosmo Insurance Agency is a full-service independent insurance agency based in New Jersey that offers an all-encompassing range of insurance options for both individuals and businesses.
Disclaimer: The information on this website is for informational and educational purposes only and is not a substitute for competent insurance, legal or tax advice and you should consult with a licensed professional in your state.
Copyright – Cosmo Insurance Agency – All Rights Reserved.