Get the free EXECUTIVE AND PROFESSIONAL LIABILITY APPLICATION

Executive Risk Specialty Insurance Company Home Office: 82 Hop meadow Street Sims bury, Connecticut 06070-7683 BROKERAGES SECURITIES BROKERAGE EXECUTIVE AND PROFESSIONAL LIABILITY APPLICATION The

For Professional employees, please select one of the professional coverages below. O o o DENTIST. For Dentists, choose a professional type below that best fits your coverages. O o o PROFESSIONAL SERVICES. For any professional services, your coverages may include medical, dental, pharmacy and pharmacy technology. (Note: Some individuals may have two or more professional plans that are each applicable to a different insurance policy.) o o o PROFESSIONAL SERVICES AND ADVOCACY. For any professional services to/from the home office, including payroll, legal and medical support. O o o PROFESSIONAL SERVICES AND RESEARCH. For any professional services to/from the home office, including payroll, legal and medical support. O o o PROFESSIONAL RESEARCH. For any professional activities that are primarily research-based, research and development related, legal activities, medical activities, pharmaceutical activities and pharmacotherapy. O o o PROFESSIONAL TRAINING AND EDUCATION. For any professional activities for training, teaching and/or education (including educational and consulting activities). O o o PROFESSIONAL SERVICES AND PRODUCTION. For any professional services associated with production or operation of a company (e.g. marketing, production, management, logistics, manufacturing). O o o PROFESSIONAL SERVICE. For any professional services or products that assist a company in meeting its goals. O o o ADVOCACY. For any of the following, select the plan you are interested in: o o o PUBLIC RELATIONS. For your advertising, communication and press operations. O o o MEDICAL. The coverage includes all types of health care and related services, including health care and related professional services. The coverage includes medical, dental, pharmacy, pharmacy technology, diagnostic, prescription drug, surgical, medical technology, rehabilitation and chiropractic services. O o o MEDICAL TECHNOLOGY. Coverage for medical technology is limited to the following types of medical services including but not limited to, medical technology for medical research, health information technology, and health education technology. O o o MEDICAL TRIALS. For medical trials and clinical research for purposes of developing new products, diagnosing conditions in existing products or developing and testing new products. O o o HOSPITAL. Coverage for medical services provided at a hospital is limited to the following: o o o CHILDHOOD. Coverage for childhood services provided in a hospital or hospital-like facility.

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What is executive and professional liability?

Executive and professional liability refers to the legal responsibility faced by executives and professionals for their actions or decisions within their roles. It typically includes the liability for negligence, errors, omissions, or misconduct that may result in financial loss or harm to others.

Who is required to file executive and professional liability?

The requirement to file executive and professional liability varies depending on the jurisdiction and industry. Generally, individuals in leadership positions, such as executives, directors, officers, or professionals in certain fields, may be required to carry this type of insurance or file related documentation to protect themselves and their organization.

How to fill out executive and professional liability?

Filling out executive and professional liability forms typically involves providing detailed information about the individual or organization, including their roles and responsibilities, professional qualifications, risk exposure, and prior claims history. It is advisable to consult with insurance professionals or legal experts to ensure accurate and complete completion of these forms.

What is the purpose of executive and professional liability?

The purpose of executive and professional liability is to protect individuals in leadership positions and professionals from potential financial losses, legal expenses, and reputational damage resulting from claims of negligence, errors, omissions, or misconduct in the performance of their duties.

What information must be reported on executive and professional liability?

The information required for executive and professional liability reporting typically includes personal or organizational details, professional qualifications, employment history, current roles and responsibilities, prior claims or litigation, and any other relevant information that may impact the risk assessment or coverage.

When is the deadline to file executive and professional liability in 2023?

The deadline to file executive and professional liability in 2023 may vary depending on the specific regulations and policies applicable to the jurisdiction and industry. It is recommended to refer to the relevant authorities or consult with insurance providers to determine the exact deadline.

What is the penalty for the late filing of executive and professional liability?

The penalty for the late filing of executive and professional liability can vary depending on the applicable laws and regulations. It may include monetary fines, loss of coverage, or other legal consequences. It is crucial to comply with the filing deadlines to avoid potential penalties.

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