Cyber Liability

Required

I understand that any policy changes and quote requests are effective only when I have received a written confirmation.

Number of Part time Employees

Do you collect, receive, process, transmit or maintain private, sensitive, or personal information from third parties? Check all that apply.

Credit/Debit Card Data

Social Security Numbers

Medical Information

Bank Accounts/Records

Employee/HR Info

Customer Information

Other

Do you allow remote access to your computers/network?

Yes

Network Security and Privacy Liability Coverage

What’s unique about the privacy and network security coverages is that both first-party costs and third-party liabilities are covered: First-party coverage applies to direct costs for responding to a privacy breach or security failure, and third-party coverage applies when people sue or make claims against you, or regulators demand information from you.

Do you use anti-virus software?

Yes

Some common first-party costs when a security failure or data breach occurs include:

Forensic investigation of the breach.
Legal advice to determine your notification and regulatory obligations.
Notification costs of communicating the breach.
Offering credit monitoring to customers as a result.
Public relations expenses.
Loss of profits and extra expense during the time that your network is down (business interruption).

Common third-party costs include:

Legal defense.
Settlements, damages and judgments related to the breach.
Liability to banks for re-issuing credit cards.
Cost of responding to regulatory inquiries.
Regulatory fines and penalties (including Payment Card Industry fines).

We follow the highest industry standards to safeguard the confidentiality of your personal information and secure the transmission of your information from your computer. Please fill out this form as completely as possible to ensure an accurate quote.

Cyber Liability Insurance

Just about any organization that uses technology to do business faces cyber risk. And as technology becomes more complex and sophisticated, so do the threats we face – which is why every business and organization needs to be prepared with cyber liability insurance. At AGI Commercial Insurance, we understand the complexity of cyber threats and have cyber liability insurance solutions to help protect your business assets.

Application for Quote

Business Entity

Do you use firewall technology?

Yes

I you would like to fill out the application form, answer the questions below

Is your website SSL equiped?

Yes

Data breaches and network security failures happen. In fact, IBM reports more than 91 million security events per year. The likelihood that your business is next is not that far-fetched. Luckily, cyber coverage has evolved from its early days as an E&O/D&O component for technology companies into a robust offering that covers both first-party and third-party costs.

Get a quote online or call us today! AGI Commercial Insurance 480-812-8400

Business Address

This submission is a request. Insurance coverage changes and new coverage are not effective until we confirm that for you in writing

We will do our best to furnish a quote based on the information you provide. The more complete your information, the more accurate your quote will be

Email: *

Do you back up your data on a daily basis?

Yes

Do you send or accept financial transacted online?

Yes

Phone *

Do you have a dedicated IT security officer?

Yes

Number of Full time Employees

Number of Computers (Estimate)

Business Name: *

Zip Code

Do you have a secondary computer system on site?

Yes

Company Website

Annual Revenue

Describe your business operations: *

Company Type

Are Your computers on a network?

Yes

Number of Contract Employees

Additional Comments

Applicant Name: *

Year Established

AGI Commercial