• AlphaGen Insurance - Cyber Liability Quote Request

    Request a cyber liability quote by completing the contact, business, data security, coverage, history, and optional document upload details.

  • Contact

  • Format: (000) 000-0000.

  • Business Info

  • Data & Records

  • Types of sensitive data handled*
  • Are payment card transactions PCI-DSS compliant?*
  • Do you store payment card data?*
  • Subject to data regulations*

  • Security Controls

  • Multi-Factor Authentication for Email*
  • Multi-Factor Authentication for Remote Access / VPN*
  • Multi-Factor Authentication for Admin Accounts*
  • Multi-Factor Authentication for Cloud Apps*
  • Endpoint Detection & Response (EDR) Deployed*
  • Email Filtering / Anti-Phishing*
  • Encrypted Backups Stored Offline or Immutable*
  • Employee Security Awareness Training Program*
  • Written Incident Response Plan*
  • Vendor / Third-Party Risk Management Program*
  • Penetration Tests Conducted in the Last 12 Months*

  • Coverage Needs

  • Coverages of Interest
  • Effective Date*
     - -

  • History

  • Any cyber incidents, claims, or extortion attempts in the last 5 years?*
  • Any prior cyber coverage declined or non-renewed?*

  • File Uploads

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Additional Information

  • Should be Empty: