Online Application for Coverage login

The Online Application for Coverage is only available to Designated Producers of authorized Agencies who have valid login credentials. If you are an Employer seeking to purchase coverage with the FWCJUA, click on the following link to see a list of Authorized Agencies.

  FWCJUA Website

  Log in

Click here if this is your first visit and you need to acquire your Online Application for Coverage username and password.

Click here if you are an employee of an Insurance Carrier requesting access to the Market Assistance Plan (MAP) program.

This site requires Microsoft Edge browser or greater or a current version of Google Chrome, Firefox or Opera. Please note that the site works best when run full screen as data input fields may become inaccessible if your browser window is too small.