Claremont Insurance Services, Walnut Creek, Californian General Agency


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Principal provides brokers with a portfolio of high quality benefits that fit your client’s budget and deliver value to their employees. Groups with three or more employees may qualify for employer-paid coverage, and employee-paid voluntary coverage starts at 5+ employees. Principal lines of coverage include Dental, Short and Long-term Disability (STD/LTD), Life, Vision and Critical Illness. A 5% discount is available when three or more lines of coverage are sold with Principal.

Principal, founded in 1879, is a respected Fortune 500 company, named as one of the World’s Most Ethical Companies by Ethisphere Institute.

Read the press release to learn more.

New Business Submittal Deadlines

Friday, December 7
Tuesday, January 8
Thursday, February 7


Principal’s well-established portfolio of quality benefits are tailored to the needs of businesses with 3+ employees. Principal supports brokers’ need to offer clients the right benefits at the best price to meet their budget through a variety of benefit and network choices. Principal makes the purchase and implementation process seamless, whether the benefits are employer-paid or voluntary. With personalized enrollment forms and enrollment meeting assistance, brokers are supported throughout the implementation to ensure maximum participation with minimal effort.

Principal offers a unique POS product in California, in addition to the more traditional PPO, EPO and DHMO products. The popular POS product determines the right benefit at the time of services, depending on if the member visits EPO, PPO or non-network dentist. Principal’s network ranks #1 in size in many metropolitan statistical areas, so fewer employees will need to change their dentist when switching from another carrier.

Principal’s disability coverage supports employees when they need it most, and protects employers when injury or illness prevents employees from working. Short-term and Long-term disability covers employees when they are unable to perform job duties or when there is a loss of income due to disability. This generous ‘or’ definition means better protection from disability-related loss.

Term life insurance is available as employer-sponsored and voluntary, with the option to add Accidental Death & Dismemberment (AD&D) as well. Helping individuals receive the benefits promised is Principal’s top priority. Often claim information can be gathered over the phone without having to submit a claim or death certificate.

Simple and affordable, vision insurance is a valued addition to an employer’s benefits package. Principal provides an established network of VSP providers, including both independent and retail chains.

Critical Illness
Cancer and heart attacks are not only debilitating physically, they can also be financially debilitating even with medical insurance. Critical illness coverage provides another layer of coverage to ensure peace of mind if high-cost illnesses strike. Plan features include spouse/child coverage, an optional wellness benefit, and optional portability.

Accident insurance pays an up-front benefit based on covered injuries received because of an accident. It's not dependent on services, tests or treatments, so a covered employee or family member can get paid right away with less paperwork. And there's no guesswork about the benefit amount. Covers burns, comas, concussions, dental or eye injuries, dislocations, fractures, internal injuries, and disc/knee cartilage/tendon/ligament/rotator cuff injuries.

For more details on Principal's products or for assistance with a quote, please contact Claremont at 800.696.4543 or

New Groups

Claremont Insurance is here to assist you by providing carrier and product information, plan quotes and comparisons, employer presentations, open enrollment assistance and more for a variety of products offered by California's premier insurance carriers.

If you are ready to enroll your small group in a Principal plan, please click the Forms tab for a checklist of required paperwork.

Plan summaries, enrollment and change forms, and information about our carriers are always available through Claremont. You can request materials online at or call our broker service representatives Monday through Friday 8:00 a.m. to 5:00 p.m. at 800.696.4543

Thank you for choosing Claremont Insurance Services.

Please submit your new group enrollment information to Claremont:

  • Electronically with our secure online service OR
  • By mail: 1000 Burnett Avenue, Suite 440, Concord, CA 94520.

Business Hours: 8 am to 5 pm, Monday - Friday

Need more information or assistance?
Contact the small group experts at 800.696.4543 or

Agent Resources

  • Principal Forms
  • Employer Master Application

    New group Employer application

    Revision Date: 3/2015
  • New Case Submission ChecklistRevision Date: 4/2014
  • Group Census Enrollment formRevision Date: 2017
  • Electronic Consent
    A form to ensure that the processes employed for (i) delivering and presenting a document to a representative of the Policyholder or a Participant as an Electronic Record.
    Revision Date: 04/2016
  • Employer Change Form

    For Employer to manage terminated employees and changes for Employer administration.

    Revision Date: 12/2002
  • Group Policy Installation Form

    The answers to the following questions will dictate Principal will set up your policy

    Revision Date: 1/1/2017
  • Outside Party Service Agreement
    Policyholder authorizes an Outside Party to perform administrative functions that may include but are not limited to enrollment transactions, eligibility determinations, billing, delinquency management and premium remittance.
    Revision Date: 10/2015
  • Employee Beneficiary Form

    Form is to designate the Employee Beneficiary.

    Revision Date: 5/2014
  • Employee Enrollment & Waiver form

    For new hire Employees.

    Revision Date: 7/2016
  • Employee Change form

    For Employee's to make changes to personal information, add/remove dependents and plans.

    Revision Date: 2/2014
  • ADA Employee Dental Claim form

    American Dental Association Claim form

    Revision Date: 2012
  • Employee Disability Claim form
    These forms are required to be completed to apply for disability benefits through Principal's claims process. These forms must be completed in their entirety by the employer, employee and employee's attending physician. Additional information the employee would be pertinent to review for this claim please attach to this form.
    Revision Date: 1/2017
  • Group Life Claim form

    Use this form for both member and dependent claims.

    Revision Date: 10/2015
  • COBRA and State Continuation form
    Complete this form on all transfer cases that currently insure any individual(s) under the COBRA or State Continuation provisions. Note: If the continuation began after the effective date of your group plan with Principal Life Insurance Company, this form should not be used. Please refer to your Administration Guide for further instructions. Please complete one form per continued individual or family.
    Revision Date: 9/2013

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