First off, tell us a little more about your company. This info helps us keep our audience exclusive and specific, and that means we can serve you even better.

What state are you located in:*
Select One AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Canada Outside the US
Where are your company headquarters located?*
Please select the category that best describes your company/organization.*
Select One Broker/Agency Insurer/Carrier /Reinsurer
Which of the following best describes your day-to-day role within your organization?*
Select One Claims Corporate Strategy Customer Engagement / Experience Data & Analytics Distribution Innovation / Transformation (across the organization) IT Legal Marketing New Product Development Policy Administration Pricing Underwriting Other
In a sentence or two, please tell us a little bit more about your role and/or areas of expertise.
Which Insurance Line of business apply to you (select all that apply):*
Commercial Lines – D&O
Commercial Lines – Fleet
Commercial Lines – Property
Commercial Lines – Small Commercial
Commercial Lines – Workers Comp
Cyber
Embedded Insurance
Health / Wellness / Employee Benefits
Life & Annuities
Personal Lines – Auto
Personal Lines – Home
Personal Lines – Pet
Personal Lines – Renters
Specialty Lines – Crop/Agriculture
Specialty Lines – E&S
Specialty Lines – Marine/Aviation
Supplemental Health/Voluntary Benefits
Which best describes your responsibility for purchasing products or services?*
Select One Sole responsibility Joint responsibility Advisory influence only No influence Not Applicable. I am not procuring products/service
How many people are employed at your company? *
Select One 0-50 51-100 101-300 301-500 500-1,000 1,000-5,000 5,001-10,000 10,000+

This is the fun part. When you complete your one-on-one solution provider meetings, you'll be rewarded with swag. Decide if you're taking 6 or 8 meetings and select your corresponding swag below. *
6 meetings




8 meetings




Unable to accept rewards? Select No rewards here and continue your registration

I understand that participation in scheduled solution provider meetings are required and that I will only receive my swag upon completion of meetings.
Next, let us know your availability to take meetings the week of the event and we will schedule meetings only within your chosen times. Please choose a minimum of 3 time slots. Each meeting is 30 minutes long. All times are in Eastern Time.*
Monday 11/14
11am-1pm
1pm-3pm
3pm-5pm
Tuesday 11/15
11am-1pm
1pm-3pm
3pm-5pm
Wednesday 11/16
11am-1pm
1pm-3pm
3pm-5pm
Thursday 11/17
11am-1pm
1pm-3pm
3pm-5pm
Friday 11/18
11am-1pm
1pm-3pm
3pm-5pm

This is the most important page. This info is how we match you to the best solutions in the industry. Provide as much detail as you can and we’ll connect you with the right people for your one-on-one solution provider meetings.

What are some goals you have for this year where technology and/or a technology provider may be able to assist?*
Are you planning to purchase/partner with an insurtech in the next 12-24 months?
yes
no
What type(s) of technology/solution(s)?
What stage in the process are you in for this project?
Select One Ideation and Planning Project Funding Committed Seeking Suppliers/Vendors Feasibility Permitting Financing Engineering Procurement Development Construction In Service Decommissioning
Please provide specifics around your review process and needs.
For the purpose of scheduling your meetings with relevant solutions providers , please specify which solutions you are interested in researching for your upcoming projects over the next 12 to 24 months. Select all that apply.*
AI/ML
Claims/TPA
Cyber
Digital Transformation
Distribution
Investor
Solutions Provider – Enterprise
Solutions Provider – Core Systems
Solutions Provider – Consulting Firm
Solutions Provider – Law Firm
Startup/Insurtech
Underwriting
Other
If Other, please specify:
Please summarize your top 2 business challenges you need assistance within the next year. Please provide as much detail and context as possible to help ensure a relevant meeting schedule.
2.*
1.*