Information you choose to provide
The coverage review form asks for your first name and phone number, with optional fields for email address, the type of help you are seeking, and a short message. Please do not submit Social Security numbers, policy account numbers, detailed medical records, payment information, or other highly sensitive information through the website form.
How the information is used
The information is used to review your request, contact you, understand the type of insurance guidance you may need, and maintain an appropriate record of the conversation. Submitting the form does not obligate you to purchase insurance.
Where the request goes
Online forms remain disabled until a reviewed form service is connected. When enabled, this notice will identify the service used to process and store requests. If a form reports that online requests are unavailable, no submission has been sent; please use the displayed phone number instead.
Sharing and selling
Two Waters does not sell the contact information you provide through this form. Information may be shared when reasonably necessary to respond to your request, provide requested insurance services, operate the website, meet legal or regulatory obligations, or protect against fraud and misuse.
Your choices
You may ask about information you previously submitted or request that an unnecessary contact record be corrected or removed, subject to any legal, regulatory, contractual, or recordkeeping requirements that apply.
Contact
For a privacy question, call 304-220-0011. For general coverage questions, use the coverage review form.
Effective July 15, 2026. This notice may be updated as the website or business practices change.