Insurance

52 documents

Document Type Date Amount Actions

Wright Flood Renewal Bill Policy 09 1152254689 04

Renewal bill from Wright National Flood Insurance Company fo...

Renewal_bill Oct 24, 2026 $5,852.00

Nationale-Nederlanden Pensioen Reminder Polis 51862.000091

Reminder letter from Nationale-Nederlanden to Meneer J. Jong...

Pension_reminder_letter May 5, 2026 —

Cigna EOB Claim 222134097702 Medway Air Ambulance

Cigna Explanation of Benefits for a claim for Sophia Jongsma...

Explanation_of_benefits Jun 28, 2022 $141,460.00

Johan Jongsma Homeowners Application 33704

Page 1 of a Homeowners/Dwelling Program Application for Joha...

Homeowners_insurance_application May 1, 2017 —

Conservatrix Afkoop Polis 27557

Surrender (afkoop) form from Conservatrix Levensverzekeringe...

Policy_surrender_form Dec 9, 2013 € 4.341,13

Elevation Certificate 851 Brightwaters Blvd NE

FEMA National Flood Insurance Program Elevation Certificate ...

Fema_elevation_certificate Jul 23, 2013 —

Cigna Appeal Letter Sophia Helena Jongsma

Letter from Johan Jongsma to attorney John W. Shamblin regar...

Appeal_letter Mar 9, 2023 —

NFIP Flood Policy 1152254689 Johan Jongsma

Flood declarations page from Wright National Flood Insurance...

Flood_declarations_page Jan 5, 2023 $5,849.00

Cigna PHI Authorization Customer ID 10712074603

Cigna HealthCare authorization form for disclosure of Protec...

Phi_authorization_form Jan 1, 2017 —

Cigna Appeals Release Authorization SR# 1457315794

Signed authorization by Johan Jongsma releasing all informat...

Authorization_release_form Mar 9, 2023 —

Wright Flood Policy 1152254689 Declarations

Flood declarations page from Wright National Flood Insurance...

Flood_declarations_page Jan 5, 2023 $5,849.00

Cigna Appeal Approval SR 1457315794 Medway Air Ambulance

Cigna appeal decision letter dated March 10, 2023, approving...

Appeal_decision_letter Mar 10, 2023 —

Cigna Appeals Authorization SR# 1457315794 Jongsma

Authorization for Release of Confidential Information for Ap...

Authorization_release_form Mar 10, 2023 —

Valley Bank Flood Insurance Reference 7283-8666-7444-608

Valley National Bank letter to Johan Jongsma dated July 25, ...

Flood_insurance_requirements_letter Jul 25, 2023 —

Election of Non-Stacked Uninsured Motorist Coverage Signed Sep 24 2013

Signed election form (PCA-UM-FL 01/09, page 2 of 2) in which...

Uninsured_motorist_coverage_election_form Sep 24, 2013 —

ALTA Commitment STP-13-0258 Snell Isle

Schedule A of an ALTA title insurance commitment (File No. S...

Title_insurance_commitment Jun 14, 2013 $3,325,000.00

Northwest Collision Preliminary Estimate Workfile 32e64045

Preliminary auto body repair estimate from Northwest Collisi...

Auto_repair_preliminary_estimate Jul 15, 2019 —

ACORD Statement of No Loss Policy 0019335809

Signed ACORD 37 Statement of No Loss for Johan Jongsma certi...

Statement_of_no_loss Sep 21, 2016 —

NFIP Flood Policy 1152254689 Jongsma Declarations

Flood declarations page for Wright National Flood Insurance ...

Flood_insurance_declarations_page Jan 5, 2023 $5,849.00

PEL-FLUM 0109 Uninsured Motorist Rejection Florida

AIG Casualty Company's Florida Election/Rejection of Excess ...

Uninsured_motorist_coverage_rejection_form Jul 29, 2014 —

JHACH United Healthcare Out-of-Network Notice May 2017

Letter to patient families from Johns Hopkins All Children's...

Patient_notification_letter May 11, 2017 —

Centraal Beheer Pensioenverzekering Polis 10085323

Dutch pension insurance policy (Polis Pensioenverzekering) f...

Pension_insurance_policy Sep 11, 2025 €14.465,59

Form 1095-C 2024 Johan Jongsma Kaseya US Sales

IRS Form 1095-C (Employer-Provided Health Insurance Offer an...

Tax_form_1095c Jan 1, 2024 —

Centraal Beheer UPO 2026 Kenmerk 01-99990001-55106074-18750101

Annual Uniform Pension Overview (UPO) for 2026 from Centraal...

Pension Statement Aug 6, 2026 —

Pension Notification for J. Jongsma

This is a pension notification letter from Nationale-Nederla...

Pension_notification Apr 14, 2026 —

OIC30107679-03 Policy Renewal

This is a Homeowners Renewal Declaration from Olympus Insura...

Homeowners_renewal_declaration Dec 2, 2023 $8,835.00

Elevation Certificate 125148

This is an Elevation Certificate from the Federal Emergency ...

Elevation_certificate May 31, 1995 —

Flood Insurance Policy 09 1151683750 07

This is a flood insurance policy renewal document from Wrigh...

Flood_insurance_policy Aug 14, 2025 $1,143.00

Florida Peninsula Insurance Roof Inspection Letter Jan 2024

This is a letter from Florida Peninsula Insurance Company to...

Home_inspection_letter Jan 31, 2024 —

Southern-Owners Umbrella Policy Declarations Oct 2024

This is an Umbrella Policy Declarations document from Southe...

Umbrella_policy_declarations Oct 28, 2024 $1,793.76

Interpolis Retirement Pension Options

Informational document from Interpolis outlining the retirem...

Pension_information — —

Interpolis Pension Deferral Form

A pension deferral application form for policy number 190323...

Pension_deferral_form — —

Centraal Beheer Pension Purchase Information

Information letter regarding pension purchase options with C...

Pension_information_letter — —

Interpolis Pension Maturity Notice March 2025

Notification letter regarding the end of pension insurance p...

Pension_notice Oct 3, 2024 —

Interpolis Pension Provider Options

Informational document from Interpolis explaining that custo...

Pension_information — —

Flood Insurance Renewal Bill

Flood insurance renewal bill for Johan Jongsma with policy n...

Insurance_renewal_bill Oct 25, 2024 $6,891.00

Flood Insurance Policy Renewal Notice

Renewal notice for flood insurance policy expiring January 2...

Insurance_renewal_notice Nov 26, 2024 $5,852.00

Auto-Owners Executive Umbrella Insurance Statement

Insurance statement for Executive Umbrella policy 50-989154-...

Insurance_statement Nov 22, 2024 $1,793.76

Flood Insurance Renewal Bill

Flood insurance renewal bill for Johan Jongsma (Policy FLD53...

Flood_renewal_bill Dec 8, 2024 $6,891.00

Centraal Beheer Pension Notification

Letter from Centraal Beheer informing J. Jongsma about arran...

Pension_notification Dec 30, 2024 €14,874.20

Wright Flood Insurance Declarations Page Renewal

National Flood Insurance Policy (NFIP) declarations page ren...

Flood_insurance_declarations_page Jan 23, 2025 $5,852.00

Flood Insurance Renewal Bill January 2025

Renewal bill for flood insurance policy FLD5354528 issued to...

Flood_insurance_renewal_bill Jan 24, 2025 $6,891.00

NFIP Property Claims History Report

National Flood Insurance Program (NFIP) property claims hist...

Insurance_claims_history Mar 1, 2025 —

Selective Flood Insurance Renewal Bill

Flood insurance renewal bill from Selective Insurance for po...

Insurance_renewal_bill Nov 15, 2025 $6,891.00

Pension Insurance Policy

Pension insurance policy issued by Centraal Beheer (Achmea) ...

Insurance_policy Sep 11, 2025 €14,465.59

Flood Insurance Renewal Notice

Renewal reminder notice for flood insurance policy held by J...

Insurance_renewal_notice Jan 6, 2026 $5,852.00

Flood Insurance Policy Renewal Notice

Renewal notice for flood insurance policy (NFIP #1152254689)...

Insurance_renewal_notice Nov 26, 2025 $5,852.00

Executive Umbrella Insurance Invoice

Invoice for Executive Umbrella policy 50-989154-01 showing c...

Invoice Nov 24, 2025 $2,108.88

Selective Flood Insurance Renewal Bill

Flood insurance renewal bill for Johan Jongsma (Policy FLD53...

Flood_insurance_renewal_bill Dec 7, 2025 $6,891.00

NFIP Property Claims History Report

NFIP property claims history report dated March 1, 2025, for...

Nfip_property_claims_history Mar 1, 2025 —

Wright National Flood Insurance Policy Renewal 2026

Flood insurance policy declaration page renewal from Wright ...

Flood_insurance_declaration Jan 21, 2026 $5,852.00

Flood Insurance Requirement Notice

Valley Bank notifies Johan Jongsma that flood insurance is r...

Insurance_requirement_notice Jan 22, 2026 —