Directors & Officers (D&O) Liability Applications and Forms
All organizations, whether public, private, financial institutions or nonprofits, and the people who lead them are vulnerable to a multitude of D&O exposures. These can include securities litigation, regulatory actions, allegations of misrepresentation and other breaches of fiduciary duties.
Applications and forms
Asset management, financial institutions and insurance companies
Multi-Coverage Applications - SelectOne+ ® Asset Management Firms
- New Business - Investment Advisers and Funds
- Renewal - Investment Advisers and Funds
- New Business - Private Equity
- Renewal - Private Equity
- New/Renewal - Small Investment Advisers Application (for use by Registered Investment Advisers with up to $2 Billion in Assets Under Management and do not manage investment funds)
Multi-Coverage Applications - SelectOne+ ® Financial Institutions and Insurance Companies
- New Business - Community Banks - Private
- New Business - Credit Unions - Private
- New Business - Community Banks - Public
- New Business - Insurance Companies - Private
- New Business - Insurance Companies - Public
- Renewal- Community Banks & Credit Unions - Private
- Renewal - Community Banks - Public
- Renewal- Insurance Companies - Private
- Renewal - Insurance Companies - Public
Stand-Alone Applications - SelectOne+ ® Financial Institutions and Insurance Companies
- New Business - Community Bank & Credit Unions
- Renewal - Community Bank & Credit Unions
- New Business - Insurance Companies
- Renewal - Insurance Companies
- Excess Policy Application - New Business and Renewal
- Acceptance of Competitor Application - Not for use in: AK, IL, KY, MO or NY
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Claims Made - Asset Management and Insurance Companies
- New York Claims Made
- New York Duty-to-Defend
- New York Defense Within Limits
Sample Policy Forms - SelectOne+ ® Asset Management Firms
- Declarations - CA, HI Only
- Declarations
- Insuring Agreement
- General Terms and Conditions
Sample Policy Forms - SelectOne+ ® Community Banks, Credit Unions and Insurance Companies
- Declarations
- Insuring Agreement
- Liability General Terms and Conditions
Nonprofit organizations
Multi-Coverage Applications
- New Business - Wrap+ ®
- Renewal - Wrap+ ®
- New Business - SelectOne+ ®
- Renewal- SelectOne+ ®
Stand-Alone Applications
- New Business - for CA and NY Wrap+ ®
- Renewal- for CA and NY Wrap+ ®
- New Business
- Renewal
- New Business - SelectOne+ ®
- Renewal - SelectOne+ ®
Supplemental Applications
- Agricultural Cooperative Supplemental Application
- School Supplemental Application
Small Business Applications
These applications will only be accepted for Nonprofit Organizations with 30 or fewer employees and $5 million or less in assets and $5 million or less in revenues.
Multi-Coverage Applications
- New Business - Wrap+ ®
- Renewal - Wrap+ ®
Stand-Alone Applications
- New Business - for CA and NY Wrap+ ®
- Renewal- for CA and NY Wrap+ ®
- New Business
- Renewal
State Application Notices
- Affiliate (Non-Subsidiary) Coverage Notice - Note: Only applies to PNP Wrap+ ® applications and excludes all Programs, Chatham, Amwins Program Underwriters , Kevin Davis. This notice must physically attach to the PNP Wrap+ ® application.
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Claims Made DOL - Nonprofit DOL Only
- New York Claims Made
- New York Duty-to-Defend
Sample Policy Forms
- Declarations
- Insuring Agreement
- Liability General Terms and Conditions
Private companies and private partnership liability
Multi-Coverage Applications
- New Business - Wrap+ ® PDO
- Renewal - Wrap+ ® PDO
- New Business - Wrap+ ® PPL
- Renewal - Wrap+ ® PPL
Stand-Alone Applications
- New Business - Wrap+ ® PDO
- Renewal - Wrap+ ® PDO
- New Business - Wrap+ ® PPL
- Renewal Business - Wrap+ ® PPL
- Excess Policy Application - New Business and Renewal
- Acceptance of Competitor Application - Not for use in: AK, IL, KY, MO or NY
Small Business Applications
These Applications will only be accepted for Privately held commercial companies with 250 or fewer employees and $100 million or less in assets and $100 million or less in revenues.
- New Business - Multi-Coverage
- Renewal - Multi-Coverage
- New Business - Stand-Alone
- Renewal - Stand-Alone
State Application Notices
- Affiliate (Non-Subsidiary) Coverage Notice - Note: Only applies to PNP Wrap+® applications and excludes all Programs, Chatham, Amwins Program Underwriters , Kevin Davis. This notice must physically attach to the PNP Wrap+® application.
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Claims Made
- New York Duty-to-Defend
Sample Policy Forms - Wrap+ ® Private Companies
- Declarations
- Insuring Agreement
- Liability General Terms and Conditions
Sample Policy Forms - Wrap+ ® Private Partnership Liability
- Declarations
- Insuring Agreement
- Liability General Terms and Conditions
Public companies
Multi-Coverage Applications
- New Business - Executive Choice+ ®
- Renewal - Executive Choice+ ®
- New Business - SelectOne+ ®
- Renewal - SelectOne+ ®
- New Business - Insurance Companies - Public
- Renewal - Insurance Companies - Public
Stand-Alone Applications
- New Business - Executive Choice+ ®
- Renewal - Executive Choice+ ®
- New Business - SelectOne+ ®
- Renewal - SelectOne+ ®
- Excess Policy Application - New Business and Renewal
- Acceptance of Competitor Application - Not for use in: AK, IL, KY, MO or NY
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Claims Made
- New York Defense Within Limits
Sample Policy Forms
- Declarations
- Insuring Agreement - Public
- Insuring Agreement - FI
Side A DIC forms
Specifically designed to meet the unique needs of directors and officers, Travelers Broad Form Plus+ ℠ policy combines expert claims-handling with extensive coverage for non-indemnifiable claims against directors and officers (Side A) that includes difference-in-conditions (DIC) drop-down features not found in traditional D&O policies.
Applications - SelectOne+ ® Financial Institutions
- New Business
- Renewal
- New Business - AK, GU, PR, VT, VI
- Renewal - AK, GU, PR, VT, VI
Applications - Wrap+ ® Private and Nonprofit
- New Business
- Renewal
- New Business - AK, GU, PR, VT, VI
- Renewal - AK, GU, PR, VT, VI
Applications - Executive Choice+ ® Public Companies
- New Business
- Renewal
- New Business - AK, GU, PR, VT, VI
- Renewal - AK, GU, PR, VT, VI
State Application Notices
- California
- Illinois
- Louisiana
- Maine
- Minnesota
- Montana - Defense Within Limits
- New York Claims Made
- New York Defense Within Limits
- New York Duty-to-Defend
Sample Policy Forms
- Declarations
- Declarations - NY
- Insuring Agreement
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