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MPA-10001-08-11 1
Atlantic Specialty Insurance Company
(Stock company owned by the OneBeacon Insurance Group)
HEALTHCARE ORGANIZATION
MANAGEMENT LIABILITY APPLICATION
NOTICE: THE LIABILITY COVERAGE SECTIONS OF THE HEALTHCARE ORGANIZATION MANAGEMENT LIABILITY
POLICY PROVIDE CLAIMS MADE COVERAGE, WHICH APPLIES ONLY TO "CLAIMS" FIRST MADE DURING THE
"POLICY PERIOD," OR ANY APPLICABLE EXTENDED REPORTING PERIOD. THE LIMIT OF LIABILITY TO PAY
DAMAGES OR SETTLEMENTS WILL BE REDUCED AND MAY BE EXHAUSTED BY "DEFENSE EXPENSES," AND
"DEFENSE EXPENSES" WILL BE APPLIED AGAINST THE RETENTION AMOUNT. IN NO EVENT WILL THE
UNDERWRITER BE LIABLE FOR “DEFENSE EXPENSES” OR OTHER “LOSS” IN EXCESS OF THE APPLICABLE
LIMIT OF LIABILITY. READ THE ENTIRE APPLICATION CAREFULLY BEFORE SIGNING.
APPLICATION INSTRUCTIONS
Whenever used in this Application, the term "Applicant" shall mean the organization identified in response to Question 1 of
Section I General Information.
I. GENERAL INFORMATION
1. Name of Applicant
: ___________________________________________________________________________
2. Address of Applicant: __________________________________________________________________________
City: ______________________ State: ____________ Zip Code: _____________ Telephone: ________________
Website: _____________________________________________________________________________________
3. State of incorporation: ____________________________ Date of incorporation: _______________________
4. Authorized individual (Executive Officer) to receive notices and information regarding the proposed coverage
sections:
Name: ________________________________________ Title: ________________________________________
E-Mail Address: _________________________________ Phone: __________________ Fax: _______________
5. Individual responsible for Human Resources or employment law matters:
Name: ________________________________________ Title: ________________________________________
E-Mail Address: _________________________________ Phone: __________________ Fax: _______________
II. SPECIFIC INFORMATION
1. Please indicate below which coverages are being requested.
Note: The requested coverage is not automatically provided. The terms and conditions of the coverage
section, if issued, will determine actual coverage.
Coverage Included Limit of Liability Requested Retention/Deductible Requested
Directors and Officers Liability
Employment Practices Liability
Fiduciary Liability
Crime
$ ________________________
$ ________________________
$ ________________________
$ ________________________
$ ________________________
$ ________________________
$ ________________________
$ ________________________
MPA-10001-0- 2
2
. Describe nature of Applicant’s business:
____________________________________________________________________________________________
3.
Applicant is a: Not-For -Profit Tax Exempt Organization (Applicable Federal or State Revenue Code ___________)
Not-For-Profit Taxable Organization
For -Profit Corporation
Partnership
Limited Liability Company
Other (please describe): ___________________________________________________________
4. Is the Applicant owned or operated by a state, city, town or county or by an agency, authority or other governmental
or quasi-governmental entity established by state or local law? Yes No
If “Yes,” by whom? ___________________________________________________________
5. Complete if Applicant has stock or other equivalent ownership instrument:
(i) Total number of common shareholders: _____________________________________
(ii) Total number of common shares outstanding: _________________________________
(iii) Total number of common shares owned by officers: ____________________________
(iv) Total number of shares owned by directors who are not officers: __________________
(v) If any shareholder owns 5% or more of shares, designate name and percentage:
______________________________________________________________________
6. Does the Applicant have any publicly traded securities or debt? Yes No
If “Yes,” please attach complete details.
7. Please complete the following information:
(a) Revenues: Previous twelve (12) months: ___________________________________
Projected next twelve (12) months: _______________________________
(b) Employees: Previous twelve (12) months: ___________________________________
Projected next twelve (12) months: _______________________________
(c) Total Assets: ________________________________________________________
8. What percentage of revenues does the Applicant or any of its Subsidiaries receive from government sources?
None Less Than 50% Greater than 50% to 60%
Greater than 60% to 70% Greater than 80%
9. Please list all direct and indirect Subsidiaries. If included as an attachment herein, check here . If not applicable,
please check here .
Name Nature of Business Percentage of
Ownership
Date Acquired
or Created
Domestic or Foreign and
Country of Incorporation
Tax
Status
I
s the Applicant requesting coverage to be extended for all listed Subsidiaries? Yes No
10. Please list all Affiliates or other entities for which the Applicant requests coverage (other than Subsidiaries above).
If included as an attachment herein, check here . If not applicable, please check here .
Name Nature of Business Percentage of
Ownership
Date Acquired
or Created
Domestic or Foreign and
Country of Incorporation
Tax
Status
MPA-10001-08-11 3
11. Has the Applicant in the past eighteen (18) months completed or agreed to, or does it contemplate during the next twelve (12)
months, any of the following, whether or not such transactions were or will be completed:
(a) Reorganization or arrangement with creditors under federal or state law? Yes No
(b) Branch, location, facility, office, or subsidiary closings, consolidations or layoffs? Yes No
(c) Mergers, acquisitions or divestitures? Yes No
(d) Branch, location, facility, office or subsidiary closing, consolidations or layoffs? Yes No
(e) Registration for a public or private offering of securities? Yes No
(f) Issuance of any debt or non-taxable bonds? Yes No
(g) Entering into any new government contracts? Yes No
(h) Conversion from non-profit to for-profit status? Yes No
If “Yes” to any part of Question 11, please describe the essential terms of each such transaction as an attachment.
III. BUSINESS PRACTICES INFORMATION
1. Does the Applicant or any Subsidiary have any exclusive contracts with any providers? Yes No
If “Yes,” please provide details by separate attachment.
2. Does the Applicant or any of its Subsidiaries control more than twenty percent (20%) of the
market share in any given geographical area of: (a) providers in any given field of practice;
(b) hospital beds; (c) healthcare services; or (d) if the Applicant provides managed care products
or services, the market share of health plan members? Yes No
If “Yes” to Question 2(a), (b), (c) or (d), please provide market share percentages by separate attachment.
3. Is any of the Applicant's or any of its Subsidiary's medical malpractice exposure self-insured or
insured by means of a funded trust, captive, subsidiary, or reciprocal risk sharing operation? Yes No
If “Yes,” please provide details of the insurance program by separate attachment and attach a copy
of the most recent actuarial study.
4. Does the Applicant or any Subsidiary contract with a third party to manage, operate, or
administer its facility or operations? Yes No
5. Does the Applicant or any Subsidiary have a plan for ongoing training on HIPAA and other
privacy laws? Yes No
6. Does the Applicant or any Subsidiary perform provider selection? If “No,” skip to Question 7. Yes No
(a) Are written policies and procedures in place for provider selection? Yes No
(b) Is legal counsel consulted before any adverse recommendation or decision becomes final? Yes No
(c) Within the last two (2) years has the Applicant or any Subsidiary closed or restricted staff
admissions and/or privileges of a provider for reasons other than professional competence,
including but not limited to, a conflict of interest? Yes No
If “Yes,” how many? ________
(d)
Are there any formal plans for future staf
f admission/privilege closings or restrictions? Yes No
If “Yes,” please provide details by separate attachment.
7. Applicant and/or Subsidiary Accreditation:
American Hospital Association JCAHO NCQA Other: ________________
(a) Has the Applicant’s license, certification or accreditation ever been investigated, denied,
suspended, revoked or granted subject to any contingencies or recommendations? Yes No
(b) Has the JCAHO, NCQA or any other certifying or accrediting body found any Applicant to
be out of substantial compliance with its certifying or accrediting standards? Yes No
(c) Has any federal or state regulatory authority criticized or noted deficiencies in any of the
Applicant’s operations, procedures or finances? Yes No
MPA-10001-08-11 4
8. Has the Applicant or any of its Subsidiaries voluntarily disclosed to any governmental entity or is it aware of any
violations or potential violations of the following:
(a) Civil False Claims Act? Yes No
(b) Physician Ownership and Self-Referral Act (The Stark Act)? Yes No
(c) Any similar law or regulation? Yes No
If "Yes" to any of the above 8(a) - (c), please attach the complete details.
IV. DIRECTORS AND OFFICERS LIABILITY INFORMATION
Complete if coverage is requested.
1. Attach a complete list of all Directors and Officers of the Applicant and its Subsidiaries by name, affiliation, and date
of nomination.
2. Are Board members elected? Yes No
If “No,” please attach complete details.
3. Has the Applicant or any Subsidiary experienced changes to its Board or to its Key Executives over
the past year? If “Yes,” please attach complete details. Yes No
4. Does the Board hold meetings more than 3 times per year? Yes No
5. Does the Applicant participate in a risk management program? Yes No
6. Does the Applicant have any of the following committees? Please check all that apply.
Audit Compensation Nomination
7. Has the Applicant, any of its Subsidiaries or any person proposed for coverage been the subject of, or been involved in, any
of the following during the past five (5) years:
Organization
Persons
(a) Anti-trust, copyright or patent litigation? Yes No Yes No
(b) Civil, criminal or administrative proceeding alleging violation
of any federal or state securities laws? Yes No Yes No
(c) Any other criminal actions? Yes No Yes No
If “Yes” to any of the above in Question 7, please attach the complete details.
8. Other than those identified in response to Question 7, during the last five (5) years, has the Applicant, any Subsidiary or
any person proposed for coverage been named as a party in any civil action or administrative, alternative dispute resolution
or investigative proceeding in his or her capacity as a director, officer, trustee or member of any duly constituted committee
of any entity? Yes No
If “Yes,” please attach the complete details.
V. EMPLOYMENT PRACTICES LIABLITY AND THIRD PARTY LIABILITY INFORMATION
Complete if coverage is requested.
1. Enter the TOTAL number of Employees (by type) in the boxes below for the Applicant and any of its Subsidiaries .
Note: Seasonal, Temporary and Leased Employees are to be included as Part-Time Employees (Non-Union if Domestic).
Number of Employees in ALL STATES/JURISDICTIONS:
Domestic
Union Non-Union
Foreign
Full Time
Part Time
Total Number of Independent Contractors
Total Number of Volunteers:
MPA-10001- 5
2
. Enter the TOTAL number of Employees (by type) in the boxes below for the Applicant and any of its Subsidiaries.
Note: Seasonal, Temporary and Leased Employees are to be included as Part-Time Employees (Non-Union if Domestic).
Number of Employees located in CALIFORNIA ONLY:
Domestic
U
nion Non-Union
Full Time
Part Time
Total Number of Independent Contractors
Total Number of Volunteers:
3
. Enter the TOTAL number of Employees (by type) in the boxes below for the Applicant and any of its Subsidiaries.
Note: Seasonal, Temporary and Leased Employees are to be included as Part-Time Employees (Non-Union if Domestic).
Number of Employees located in DC, FLORIDA, MICHIGAN & TEXAS ONLY:
Domestic
U
nion Non-Union
Full Time
Part Time
Total Number of Independent Contractors
Total Number of Volunteers:
4
. For the past 3 years, what has been the annual percentage of turnover rate of all employees (all locations)?
Year ______, ______% Year ______, ______% Year ______, ______%
5. Does the Applicant have a Human Resources or Personnel Department? Yes No
If “No,” who manages the HR function? Please provide complete details.
6. Does the Applicant have written procedures in place regarding:
(a) Equal Opportunity Employment: Yes No
(b) Anti-discrimination: Yes No
(c) Anti-harassment: Yes No
(d) Compliance with the ADA Yes No
(e) Compliance with the 1991 Civil Rights Act Yes No
(f) Employee disciplinary actions Yes No
(g) Terminations, layoffs and early retirements Yes No
(h) Employee appraisals/review Yes No
If “No” to any of the above, please attach a full explanation.
7. Does the Applicant have a manual of its human resources procedures? Yes No
If “Yes,” has Legal Counsel reviewed the HR manual in the last two (2) years? Yes No
8. Does the Applicant have an employee handbook? Yes No
If “Yes,” is the employment handbook distributed to all employees or maintained on an Internet
location informing employees of their employment rights? Yes No
9. Is there a formalized process in place for reporting complaints/harassment? Yes No
If "Yes," are employees advised that this action will not result in a retaliatory action? Yes No
10. Does the Applicant provide formal anti-discrimination and anti-harassment training for all of
its employees? Yes No
MPA-10001-08-11 6
11. Are employment issues relating to terminations, discrimination, sexual harassment, layoffs,
transfers, or promotions handled by the Human Resources Department, outside counsel and/or
the Legal Department? Yes No
If "No", please attach complete details.
12. During the past 3 years, has the Applicant, any Subsidiary or any person proposed for coverage been involved in any
capacity in any of the following matters?
(a) EEOC, NLRB or other similar administrative proceeding? Yes No
(b) Employment-related civil suit? Yes No
If “Yes” to either of the above in Question 12, please attach a full description of the details.
VI. FIDUCIARY LIABILITY COVERAGE INFORMATION
Complete if coverage is requested.
1. Please list the Applicant’s employee benefits plan(s) for which coverage is requested:
Plan names
(Do not include health & welfare
plans)
Total assets
(market value)
Type of plan* Under funded by
more than 25%?
(DB only)
Number of plan
participants
* Defined Contribution (DC), Defined Benefit (DB), Employee Stock Ownership (ESOP), Excess Benefit or Top Hat
(EBP)
2. If any plan for which coverage is requested holds or invests in securities of the Sponsor Organization or of any
subsidiary or affiliate, please provide details, including name of plan, number of shares held, and most recent share
value. If no such securities, check here 
3. Are assets managed by an investment manager as defined in ERISA? Yes No
If “No,” or if only some assets are invested by an investment manager as defined in ERISA, please provide details on
an attachment.
4. How often is the performance of the plans' investment managers reviewed?
At least semi-annually Less than semi-annually (Please describe) ____________________________
5. How often do the fiduciaries establish or amend the investment manager's guidelines and goals for the plans?
At least semi-annually Less than semi-annually (Please describe) ____________________________
6. Do you follow a written procedure to determine the reasonableness of all plan fees, including
revenue sharing arrangements? Yes No
7. Is any plan a multiemployer or multiple employer plan? Yes No
If "Yes", list and identify the types of plans on an attachment.
8. Please list all third party investment, actuarial, legal, administrative and benefits consulting service providers.
_______________________________________________________________________________________
If no such service providers, check here
9. Are any plans NOT in compliance with plan agreements or ERISA? Yes No
If “Yes,” please explain: __________________________________________________________________________
10. In the past two (2) years, has any plan(s) (or portion of a plan) been sold, transferred or terminated? Yes No
If “Yes,” please attach details including transaction date, status of asset distribution, whether similar benefits are being
offered, and name of insurance carrier if terminated plan benefits are secured by insurance.
MPA-10001-08-11 7
11. Past activities:
(a) Has any fiduciary been:
(i) accused, found guilty or held liable for a breach of trust? Yes No
(ii) convicted of criminal conduct? Yes No
(b) Have any claims (other than for benefits) been made during the past three (3) years against any
benefit program or any current or past fiduciary(ies)? Yes No
(c) Has there been any assessment of fees, fines or penalties under any voluntary compliance resolution
program or similar voluntary settlement program administered by the IRS, DOL or other government
authority against any plan?  Yes No
If “Yes” to any of the above in Question 11, please attach a full description of the details.
VII. CRIME COVERAGE INFORMATION
Complete if coverage is requested.
1. Total number of employees of Applicant and its Subsidiaries: _________
2. Of the total employees listed above, how many employees handle, have access to or maintain records of money,
securities or other property including, but not limited to, directors, officers, trustees and any person handling or having
access to employee welfare or benefit plan assets? _________
3. Total number of locations of Applicant and its Subsidiaries: _________
Domestic locations: _________ Foreign locations: _________ List Countries: _________
4. List all employee theft, forgery, computer fraud or other crime losses discovered by the Applicant in the last 5 years,
itemizing each loss separately. Include date of loss, description and total amount of loss. (Attach additional pages if
necessary.) ________________________________________________________________________________________
5. Please describe the services the Applicant and its Subsidiaries provide for clients (including, but not limited to, accounting,
payroll or purchasing functions):
________________________________________________________________________________________
6. Does the Applicant or its Subsidiaries have access to client's funds/property (including money, securities, inventory,
high value property, banking systems, wire transfer systems, computer systems and sensitive data, etc.)?
 Yes No
(a) What type of property and dollar amount of value: _____________________________________________________
(b) Number of employees who will be performing work for your client(s): _________
(c) Total number of clients: _________
Audit/Internal Controls and Procedures:
7. Were any material weaknesses or significant deficiencies in internal controls identified by your CPA
firm or internal audit staff during the current or prior year? N/A Yes No
If “Yes,” please include a description and corrective measures and implementation timeframe.
8. Is there an internal audit department? Yes No
(a) Are all locations audited by the internal audit staff? Yes No
(b) How often? _____________________________________________
9. Are background checks performed on all new hires? Check all that apply:
Criminal Prior Employment Credit History References Drug Testing
10. Are mid-employment screenings performed when employees are promoted to sensitive positions? Yes No
11. Are newly hired employees provided with a copy of your organization's fraud policy identifying and
explaining conflicts of interest and other prohibited behavior? Yes No
MPA-10001- 8
12. Are employees required to complete conflict of interest disclosure forms annually?
Yes No
(a) Is there a system or procedure in place for employees to report violations of your
conflict of interest policy? Yes No
13. Are employees’ building access cards denied immediately upon termination and are all procurement,
credit cards, etc. cancelled? Yes No
14. Are those who reconcile bank statements prohibited from:
(a) Handling deposits in the accounts they reconcile? Yes No
(b) Signing checks? Yes No
15. Does a second person review the reconciliation with supporting documentation on a monthly basis
and initial their approval of the information? Yes No
16. Are checks signed only by the owner(s) of the company? Yes No
17. Are all checks countersigned? Yes No
(a) If there is no countersignature, who signs the Applicant’s checks? ____________________________________
(b) Over what amount is a dual signature required? $______________________________________________________
18. Is an approved voucher or Positive Pay system used? Yes No
(a) Are check signers instructed to require that all checks be accompanied by properly approved
vouchers and/or invoices? Yes No
19. Are systems designed so that no employee can control a process from beginning to end
(i.e. request a check, approve a voucher and sign a check)? Yes No
Purchasing, Vendor and Inventory Controls:
20. How often and by whom are physical inventory counts conducted? _________________________________________
21. Are inventory records computerized? Yes No
22. Are background checks performed on vendors in order to determine ownership and financial capability
prior to doing business with them? Yes No
23. Do you have a system to detect payments to fictitious vendors? Yes No
24. Is an authorized vendor list utilized and updated annually for all purchases, with competitive bidding
required over stated amounts? Yes No
25. Are vendors provided with a statement of your conflict of interest and gift policy (prohibiting gifts of
any significant value)? Yes No
Funds Transfers/Computer System:
26. What is the daily average number and dollar volume of wire transfers? _____________________________________
27. Is approval by more than one person required to initiate a wire transfer? Yes No
28. Does the Applicant’s financial institution call an employee other than one who requested the transfer
before acting on the request? Yes No
29. Does the Applicant receive hard copy confirmations on all wire transfers and are they sent directly to
a department not authorized to initiate transfers? Yes No
30. Are computer system access codes and passwords changed at least every 60 days? Yes No
31. Do any non-employees have access to the computer systems? Yes No
MPA-10001-08-11 9
VIII. CURRENT INSURANCE INFORMATION
Coverage Sections
The Applicant
currently
purchases this
coverage
(Yes) (No)
Current
Limit of
Liability
Current
Retention
Premium
Current
Carrier
Directors & Officers and
Organization Liability
 $ $ $
Employment Practices Liability
and Third Party Liability
 $ $ $
Fiduciary Liability  $ $ $
Crime  $ $ $
IX. CLAIMS AND REPRESENTATIONS/PRIOR KNOWLEDGE OF FACTS/CIRCUMSTANCES
1. During the past five (5) years, has the Applicant or any individual or entity proposed for coverage submitted any claims or
given notice of any fact, circumstance, situation, transaction, event, act, error, or omission which they had reason to
believe might or could reasonably be foreseen to give rise to a claim that might fall within the scope of insurance with any
insurer or self-insurance instrument of which the requested coverages would be a direct or indirect replacement?
Yes No
If yes, please provide details: _________________________________________________________________________
NOTE: WITHOUT PREJUDICE TO ANY OTHER RIGHTS OR REMEDIES OF THE UNDERWRITER, IT IS AGREED
THAT ANY CLAIM REQUIRED TO BE DISCLOSED IN RESPONSE TO QUESTION 1 IS EXCLUDED FROM THE
PROPOSED INSURANCE, AND THAT ANY CLAIM ARISING FROM ANY FACT, CIRCUMSTANCE, SITUATION,
TRANSACTION, EVENT, ACT, ERROR, OR OMISSION REQUIRED TO BE DISCLOSED IN RESPONSE TO
QUESTION 1 IS EXCLUDED FROM THE PROPOSED INSURANCE.
2. Is the Applicant or any individual or entity proposed for coverage aware of any fact, circumstance, situation, transaction,
event, act, error or omission which they have reason to believe may or could reasonably be foreseen to give rise to a
claim that may fall within the scope of the proposed insurance? Yes No
If yes, please provide details: _________________________________________________________________________
NOTE: WITHOUT PREJUDICE TO ANY OTHER RIGHTS OR REMEDIES OF THE UNDERWRITER, IT IS AGREED
THAT ANY CLAIM ARISING FROM ANY FACT, CIRCUMSTANCE, SITUATION, TRANSACTION, EVENT, ACT,
ERROR OR OMISSION REQUIRED TO BE DISCLOSED IN RESPONSE TO QUESTION 2 IS EXCLUDED FROM THE
PROPOSED INSURANCE.
X. ATTACHMENTS
Please attach copies of the following documents for the Applicant and all Subsidiaries seeking coverage:
1. Last audited or accountant-prepared financial statement with notes;
2. Bylaws and Certificate of Incorporation; and
3. Organization chart.
XI. FRAUD WARNINGS
MPA-10001- 10
GENERAL:
Any person who knowingly and with intent to defraud any insurance company or another person, files an application for insurance
containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties.
NOTICE TO ARKANSAS, MINNESOTA, AND OHIO APPLICANTS: Any person who, with intent to defraud or knowing that he/she is facilitating a
fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud, which is a crime.
NOTICE TO COLORADO APPLICANTS: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance
company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and
civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or
information to a policy holder or claimant for the purpose of defrauding or attempting to defraud the policy holder or claimant with regard to a
settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory
agencies.
NOTICE TO DISTRICT OF COLUMBIA APPLICANTS: WARNING - it is a crime to provide false or misleading information to an insurer for the
purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance
benefits if false information materially related to a claim was provided by the applicant.
NOTICE TO FLORIDA APPLICANTS: Any person who, knowingly and with intent to injure, defraud, or deceive any employer or employee, insurance
company, or self-insured program, files a statement of claim or an application containing any false or misleading information is guilty of a felony of the
third degree.
NOTICE TO KENTUCKY APPLICANTS: Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance containing any false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent
insurance act, which is a crime.
NOTICE TO LOUISIANA AND NEW MEXICO APPLICANTS: Any person who knowingly presents a false or fraudulent claim for payment of a loss or
benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal
penalties.
NOTICE TO MAINE, TENNESSEE, VIRGINIA AND WASHINGTON APPLICANTS: It is a crime to knowingly provide false, incomplete or misleading
information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines, or a denial of insurance
benefits.
NOTICE TO MARYLAND APPLICANTS: Any person who, with intent to defraud or knowing that he/she is facilitating a fraud against an insurer,
submits an application or files a claim containing a false or deceptive statement may be guilty of insurance fraud.
NOTICE TO NEW JERSEY APPLICANTS: Any person who includes any false or misleading information on an application for an insurance policy is
subject to criminal and civil penalties.
NOTICE TO NEW YORK APPLICANTS: Any person who knowingly and with intent to defraud any insurance company or other person files an
application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information
concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall also be subject to a civil penalty not to exceed five
thousand dollars and the stated value of the claim for each such violation.
NOTICE TO OKLAHOMA APPLICANTS: Any person who knowingly and with intent to injure, defraud or deceive any insurer, makes any claim for the
proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.
NOTICE TO OREGON AND TEXAS APPLICANTS: Any person who makes an intentional misstatement that is material to the risk may be found
guilty of insurance fraud by a court of law.
NOTICE TO PENNSYLVANIA APPLICANTS: Any person who knowingly and with intent to defraud any insurance company or other person files an
application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information
concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
XII. DECLARATIONS AND SIGNATURES:
T
he undersigned, as authorized agent of all individuals and entities proposed for this insurance, declares that, to the best of his/her knowledge and
belief, after reasonable inquiry, the statements in this Application and any attachments or information submitted with this Application (together referred
to as the "Application") are true and complete.
The information in this Application is material to the risk accepted by the Underwriter. If a policy is issued it will be in reliance by the Underwriter upon
the Application, and the Application will be the basis of the contract.
The information contained in and submitted with this Application is on file with the Underwriter and, along with the Application, will be considered
physically attached to, part of, and incorporated into the policy, if issued.
The Underwriter is authorized to make any inquiry in connection with this Application. The Underwriter’s acceptance of this Application or the making
of any subsequent inquiry does not bind the Applicant or the Underwriter to complete the insurance or issue a policy.
The information provided in this Application is for underwriting purposes only and does not constitute notice to the Insurer under any policy of a Claim
or potential Claim.
MPA-10001- 11
If the information in this Application materially changes prior to the effective date of the policy, the Applicant will immediately notify the Underwriter,
and the Underwriter may modify or withdraw any quotation or agreement to bind insurance.
RETURN COMPLETED APPLICATION PLUS ANY SUPPLEMENTS AND ATTACHMENTS TO YOUR INSURANCE AGENT OR
BROKER.
Date Signature*
Title
____________________ ___________________________________________ _________________________________
Chief Executive Officer
*This Application must be signed by the chief executive officer of the Applicant acting as the authorized
representative of the person(s) and entity(ies) proposed for this insurance.
Produced By:
A
gent: _________________________________ Agency: _______________________________________
Agency Taxpayer ID or SS No.:_____________________ Agent License No.: ______________________
Address _______________________________________________________________________________________
City: ___________________________________ State: ________________ Zip Code: ________________________
Submitted By:
A
gency: ________________________________________________________________________________________
Agency Taxpayer ID or SS No.:_____________________ Agent License No.: ______________________
Address _______________________________________________________________________________________
City: ___________________________________ State: ________________ Zip Code: ________________________
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Completed 2 July 2020

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