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Members in good standing of the League of American Homeowners (LCH) qualify for a FIVE-PERCENT GROUP INSURANCE DISCOUNT on their homeowner's insurance and auto insurance premium through KEMPER INSURANCE. The LCH GROUP INSURANCE DISCOUNT is an exclusive program offered by KEMPER INSURANCE, which maintains some of the highest insurance ratings by the AM Best Company and Moodys. If you are not a member of LCH, you may join before accepting your home insurance quote. To do that, you need only call the association on their statewide toll free phone number, 1-800-692-HOME (4663), and use VISA or Master Card, to enroll in the association. The best part of being a member if LCH is that you can obtain great insurance coverage, and you will earn the right to use other LCH discounts plus take advantage of consumer assistance services that the League offers it's homeowner members.

Address of Property to be Insured
First Name:
Last Name:
E-mail address:
Day Phone:
Member Number If member of League of American Homeowners
Street:
City:
State:
Zip:
Mailing Address (if different from above)
Street:
City:
State:
Zip:
Primary residence Secondary residence Rental Property Also, send information on 5% DISCOUNT ON AUTO INSURANCE!
Year Built: (e.g. 1997)
Square footage: sq. feet. Stories
Garage: Number of cars (0 if there is no garage)
Number of Bathrooms:
Number of fireplaces:
Smoke Detector: Yes No
Pool: Yes No
Dog: Yes No Type of Dog:
Brush within 500 feet: Yes No
Built on Concrete Slab: Yes No
This property is currently insured: by Kemper Insurance by Someone Else by no one (uninsured)
Sprinkler System: None Full Partial
Burglar Alarm: Yes Monitored Yes, unmonitored No
If your home is over 30 years old the following must be updated.
Electrical updated:
Heating updated:
Plumbing updated:
Roof type:

Claims History

List any claims within last five years:
Date: Description: Amount Paid:

The information contained herein is NOT intended to be a complete description of all terms, exclusions and conditions which apply to Kemper Insurance products and services, but are for general information purposes.