Volunteer Firefighter Enhanced Cancer Insurance Application


Getting Started

As a leader in the emergency services insurance industry, ESIP by McNeil & Co. is pleased to provide a product that meets the coverage requirements mandated by the New York State Volunteer Firefighter Enhanced Cancer Disability Benefits Act. Our product affords coverage to eligible volunteer firefighters.

In order to customize your experience, please select the button that best describes you:



Agency Information


Insured Information

Access Code, FEIN or Existing Policy #

Policy Information


Definition Of Eligibility

Active Interior Firefighter

Means an Active Volunteer Firefighter having five or more years of Faithful and Actual Service as an Interior Firefighter, who successfully passed a Physical Examination by a board certified physician that failed to reveal any evidence of Cancers prior to commencement of their interior firefighting service and provides verification that he or she has passed at least five yearly certified mask fitting tests as set forth in OSHA or other documentation capable of evidencing eligibility as outlined by the Office of Fire Prevention and Control.

Inactive Interior Firefighter

Means a Volunteer Firefighter having five or more years of Faithful and Actual Service as an Interior Firefighter, who met all the criteria to be considered an Active Interior Firefighter and ceased active service after January 1st, 2019.

Active Exterior Firefighter

Means an Active Volunteer Firefighter having five or more years of Faithful and Actual Service as a Firefighter, who successfully passed a Physical Examination by a board certified physician that failed to reveal any evidence of Cancers prior to commencement of their firefighting service.

Inactive Exterior Firefighter

Means a Volunteer Firefighter having five or more years of Faithful and Actual Service as a Firefighter, who met all the criteria to be considered an Active Exterior Firefighter and ceased active service after January 1st, 2019.

Eligible Firefighters

Statutory Coverage
# of Interior Active
# of Interior Inactive

# of Exterior Active
# of Exterior Inactive


Cancer Coverage Enhanced Option


Upgraded Cancer Benefit which expands mandated coverage to include sarcoma and any other cancer. Skin cancer benefit limited to one-time benefit of $250 for diagnosis.

Signature & Fraud Statement


Fraud Statement


Checking this box is the equivalent to an electronic signature, and by doing so, you are verifying that you have read and agree to the terms of the fraud statement and that you have made a good faith effort to ascertain complete and accurate answers to the questions set forth in this application and that the information provided in this application, including any attachments, is true, accurate, and complete to the best of your knowledge and belief.





Confirmation & Acceptance

ESIP by McNeil & Co. is pleased to provide you with the following quote to meet the coverage requirements mandated by the New York State Volunteer Firefighter Enhanced Cancer Disability Benefits Act.

Upon accepting this quote, you will be emailed your policy. Payment is due on your policy's effective date. If payment is not received, your policy will be cancelled.



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Thank You!

Your policy and related documents are below. We have also emailed them for your convenience. Please return a completed census along with payment before or on your policy's effective date.

Insured:

Policy #:

Policy Term:

Premium:

Documents: