© 2013, by the Ohio Insurance Guaranty Association    

 

Photography on website by Beth Akerman. No image may be reproduced without written consent.

 

 

 

PROXY

 

FOR 2019 ANNUAL MEETING OF MEMBER INSURERS OF THE

OHIO INSURANCE GUARANTY ASSOCIATION - [#Meeting Date#] 

 

 

The insurance company named below, a member of the Ohio Insurance Guaranty Association, does hereby constitute and appoint [#Proxy Committee Member Names#], and each of them, its true and lawful substitute attorney and proxy (each with full power of substitution) to vote for and on behalf of the undersigned in its name, place and stead and to exercise all powers which it would be entitled to exercise if actually present at the Annual Meeting of the Association on [#Meeting Date#], or at any adjournment or adjournments of such meeting, hereby revoking all proxies heretofore given by it as a member insurer of said Association.

 

This proxy will be voted FOR the election to the Board of Directors of those companies nominated by the Nominating Committee:  [#Nominated Member Company Names#]   

 

NAIC Number:

Group Number:

Total # of Companies Represented:

Comments:

I attest that the undersigned.......[*******}

Voting Member Officer Name:

Title/Position:

Contact Phone Number:

Date: