Cyber Insurance Application Sample Contracts

SAFEHEALTH CYBER INSURANCE APPLICATION
Cyber Insurance Application • February 20th, 2025

IMPORTANT NOTICE: INSURING AGREEMENTS F, G, AND H OF THE INSURANCE POLICY FOR WHICH THIS APPLICATION IS MADE (HEREINAFTER REFERRED TO AS THE “POLICY”) ARE WRITTEN ON A CLAIMS MADE AND REPORTED BASIS AND ONLY COVER CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY. INSURING AGREEMENTS A THROUGH E AND INSURING AGREEMENTS I THOUGH L ARE WRITTEN ON AN INCIDENT FIRST DISCOVED AND REPORTED BASIS AND ONLY COVER FIRST-PARTY EVENTS FIRST DISCOVERED BY THE INSURED AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY.

SAFELAWTM CYBER WRAP INSURANCE APPLICATION
Cyber Insurance Application • December 21st, 2022

NOTICE: INSURING AGREEMENTS B AND C OF THE INSURANCE POLICY FOR WHICH THIS APPLICATION IS MADE (HEREINAFTER REFERRED TO AS THE “POLICY”) ARE WRITTEN ON A CLAIMS MADE AND REPORTED BASIS AND ONLY COVER CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY. INSURING AGREEMENT A AND INSURING AGREEMENTS D-J ARE WRITTEN ON AN INCIDENT FIRST DISCOVED AND REPORTED BASIS AND ONLY COVER FIRST-PARTY EVENTS FIRST DISCOVERED BY THE INSURED AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY. THIS POLICY PROVIDES NO COVERAGE FOR CLAIMS, CIRCUMSTANCES THAT COULD REASONABLY BE THE BASIS FOR A CLAIM, OR FIRST-PARTY EVENTS, FIRST OCCURRING PRIOR TO THE RETROACTIVE DATE STATED IN THE POLICY DECLARATIONS. AMOUNTS INCURRED AS CLAIMS EXPENSE UNDER THE POLICY WILL REDUCE AND MAY COMPLETELY EXHAUST THE LIMITS OF INSURANCE AND ARE SUBJECT TO THE DEDUCTIBLES. PLEASE READ THE POLICY CAREFULLY.

SAFELAWTM CYBER WRAP INSURANCE APPLICATION
Cyber Insurance Application • December 8th, 2021

NOTICE: INSURING AGREEMENTS B AND C OF THE INSURANCE POLICY FOR WHICH THIS APPLICATION IS MADE (HEREINAFTER REFERRED TO AS THE “POLICY”) ARE WRITTEN ON A CLAIMS MADE AND REPORTED BASIS AND ONLY COVER CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD OR ANY EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY. INSURING AGREEMENT A AND INSURING AGREEMENTS D-J ARE WRITTEN ON AN INCIDENT FIRST DISCOVED AND REPORTED BASIS AND ONLY COVER FIRST-PARTY EVENTS FIRST DISCOVERED BY THE INSURED AND REPORTED TO US PURSUANT TO THE TERMS OF THE POLICY. THIS POLICY PROVIDES NO COVERAGE FOR CLAIMS, CIRCUMSTANCES THAT COULD REASONABLY BE THE BASIS FOR A CLAIM, OR FIRST-PARTY EVENTS, FIRST OCCURRING PRIOR TO THE RETROACTIVE DATE STATED IN THE POLICY DECLARATIONS. AMOUNTS INCURRED AS CLAIMS EXPENSE UNDER THE POLICY WILL REDUCE AND MAY COMPLETELY EXHAUST THE LIMITS OF INSURANCE AND ARE SUBJECT TO THE DEDUCTIBLES. PLEASE READ THE POLICY CAREFULLY.