Scheduling demands. Wheelchair-accessible vehicles. Driver credentialing. Changing contracts and regulatory requirements. Constant pressure to get passengers to appointments safely and on time. Your insurance broker should understand all of that. We do.
Signal Street is a commercial auto brokerage built for the non-emergency medical transportation industry. We place coverage for NEMT providers nationwide, from independent operators to multi-vehicle fleets, and we stay with you through every renewal, driver change, vehicle update, and certificate of insurance request.
Licensed in nearly every U.S. state
Typical quote turnaround
Certificates of insurance for active clients
Vehicles per fleet — owner-operator to enterprise
Every Signal Street policy is structured around your operation, your contracts, and your platform requirements not pulled off a shelf.
Meeting state, local, Medicaid, and contractual insurance requirements for every vehicle in your fleet.
Comprehensive and collision coverage with deductibles sized to your cash flow.
Higher liability limits for NEMT fleets that need them — often required by healthcare contracts, transportation brokers, and government programs.
Real protection when one of your drivers is hit by a motorist without adequate coverage.
Coverage for customer or platform vehicles in your care while at your lot or facility.
For your dispatch office, lot, or store front anything outside of vehicle operation.
For your drivers and your back-office team, placed alongside your auto and liability lines.
Revenue protection when a vehicle is out of service after a covered loss.
We’re a specialist team that understands NEMT coverage. From carrier selection to coverage design, we’re with you every step of the way.
Healthcare partners, transportation brokers, and government programs need proof of insurance fast. We typically deliver certificates within hours during business hours.
We work with carriers who underwrite the operation, not a static driver list. Day-to-day driver changes don't require a new policy.
We're independent. We shop your risk across multiple top-rated carriers and structure the policy that actually fits your fleet.
Healthcare, transportation broker, Medicaid, and contract requirements can vary by program and jurisdiction. We know what your COI needs to include to help you get approved from day one.
Same person, every time. They know your fleet, your renewals, your contracts. No call-center handoffs.
We work alongside the platforms and technology powering modern fleet operations, and we deliver insurance built for how you operate.
Most NEMT fleets quote in 24–48 hours and bind same-day once documentation is complete. Larger or more complex operations may take longer — your advisor will give you a realistic timeline upfront.
No. We work with carriers who underwrite the operation, not a static driver list. Driver changes are handled through endorsements, not new policies.
Both. We write owner-operators all the way up to dispatched fleets of several hundred vehicles. The level of attention is the same.
Signal Street is licensed nationwide — in nearly every U.S. state. If you’re not sure about your specific state, give us a call at (213) 799-8000 and we’ll confirm in seconds.
