Registration

Policyholder Administrator Registration only!

For Agent/Agency access, contact your Agency's eains.com administrator.
For Policyholder/Client access, contact your Company's eains.com administrator.
For additional assistance, contact EAIG at 1.855.533.3444 and ask for EAIG website account assistance.

* Required fields
* First Name    
* Last Name    
* Email Address      
* Confirm Email Address    
 
* User Name    
* Password    
* Confirm Password    
 
* Policy Number    
* Registration Code    
* Phone   Ext.    
      
* Agreement
of Terms

By clicking 'Submit,' you agree that all information that is being provided is true and correct to the best of your knowledge and belief. You also agree to be bound by the Web site's Legal Disclaimer, Privacy Policies, and any other agreement between you (or your employer) and Eastern Alliance Insurance Group ('EAIG').

You further agree to use the information presented on this Web site only for the purpose of reviewing or accessing information about your own company's workers’ compensation policy and claim data (or that of your agency’s EAIG clients), submitting claim reports, or reviewing or accessing general safety, risk management or claim management information (the 'Information'). You represent and warrant that you have been fully authorized, as necessary, by your employer and/or the others employed by your employer, to provide, access, or modify the Information. You agree to keep the Information confidential and not disclose the information except in accordance with EAIG’s policies and procedures regarding such Information. You further agree to maintain the privacy of your user name and password, to change such user name and password as reasonably required by EAIG, and to immediately notify EAIG if you learn either that: (1) anyone else is using your user name and password to access the Information without authorization; or (2) you reasonably believe that secure access to the Information has been compromised in whole or in part.