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  • IMPORTANT! The rates shown in the matrix below are ONLY available for Applicants with the following characteristics:

    • Generates no more than $500,000 in revenues annually

    • No prior insurance claims in the last 5 years

    • Requires no more than 3 years Prior Acts

    • Not located in Kentucky

  • NOTE: APPLICANTS FALLING OUTSIDE OF THE PARAMETERS LISTED ABOVE MAY STILL BE ELIGIBLE FOR PROFESSIONAL LIABILITY INSURANCE THROUGH FOX POINT PROGRAMS. CONTACT US FOR DETAILS.

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    • *Contingent BI/PD Sub-Limit Explained 

    • Bodily Injury and Property Damage (BI/PD) exposures are usually covered under a company’s General Liability policy. Many of these forms contain specific coverage exclusions for claims arising out of “professional services”. The intent of this restriction is to make sure losses resulting from a professional services incident are picked up by the appropriate Errors & Omissions policy.

      Unfortunately, most professional liability wordings follow the same logic – specifically excluding BI/PD losses that should be assumed by the firm’s General Liability. This creates a significant issue for the insured – having an exposure covered by neither policy.

      The Contingent BI/PD endorsement is designed to bridge this gap. It specifically provides coverage for BI/PD claims that arise from professional errors.

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    • 1. Contact Information

    • If “Yes”, provide details:

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    • If the answer to 4 or 5 is Yes, you will be required to complete the Supplemental Claims Questionnaire at the end of this application for each Claim, Notice, or Circumstance.

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    • THE APPLICANT WARRANTS THAT THE STATEMENTS AND RESPONSES TO THE QUESTIONS ON THIS APPLICATION ARE TRUE AND COMPLETE.
      THIS APPLICATION DOES NOT BIND THE APPLICANT OR THE COMPANY, NOR DOES IT OBLIGATE THE COMPANY TO ISSUE A POLICY. SUCH POLICY MAY BE CANCELLED BY THE COMPANY FROM INCEPTION UPON DISCOVERY THAT THE POLICY WAS OBTAINED THROUGH A FRAUDULENT STATEMENT, OMISSION, OR CONCEALMENT OF THE FACTS MATERIAL TO THE ACCEPTANCE OF THE RISK OR HAZARD ASSUMED.

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    • THE APPLICANT WARRANTS THAT THE STATEMENTS AND RESPONSES TO THE QUESTIONS ON THIS APPLICATION ARE TRUE AND COMPLETE.

      THIS APPLICATION DOES NOT BIND THE APPLICANT OR THE COMPANY, NOR DOES IT OBLIGATE THE COMPANY TO ISSUE A POLICY. SUCH POLICY MAY BE CANCELLED BY THE COMPANY FROM INCEPTION UPON DISCOVERY THAT THE POLICY WAS OBTAINED THROUGH A FRAUDULENT STATEMENT, OMISSION, OR CONCEALMENT OF THE FACTS MATERIALTOTHE ACCEPTANCE OFTHE RISK OR HAZARD ASSUMED.

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