Get Miscellaneous Professional Bapplicationb - Kinsale Insurance

Completing the Miscellaneous Professional Liability Application is essential for securing coverage with Kinsale Insurance. This guide provides clear, step-by-step instructions to help users navigate and fill out the form effectively, ensuring all necessary information is accurately captured.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to access the Miscellaneous Professional Liability Application. This will allow you to open the document in your preferred editor.
2. Begin by filling out the applicant's information. Provide the legal name of the business as the primary applicant, and include any other business or 'doing business as' (dba) names for which you seek coverage.
3. Indicate the type of business structure, selecting from options such as corporation, individual, partnership, municipality, for-profit, joint venture, or other.
4. List all additional entities that you own or manage that are not requesting coverage under this policy. This could include partnerships or other business names.
5. Fill in the primary location address and county of the primary location. Note the total number of branches your business operates.
6. Enter the date your business was originally established and list all addresses for any additional branches. Additionally, provide your website address and contact number.
7. Respond to the questions regarding any changes in name or ownership over the past five years, including any consolidations or mergers.
8. Provide a complete narrative description of your operations, detailing the services your business offers and potential professional liability exposures pertinent to your industry.
9. For each identified exposure, describe the safeguards or procedures your business has implemented to prevent claims or reduce risk.
10. Include financial information such as your total gross revenue and payroll for the past year and estimates for the next year. Note any clients providing over 25% of your gross revenue.
11. Document any long-term contracts, including their durations and cancellation terms, and provide descriptions of the five largest projects undertaken recently.
12. Detail your business's insurance and loss history, including limits per claim, recent policy period, and whether you are currently seeking errors & omissions coverage.
13. Finally, include declarations about any claims made against you in the last five years and any relevant disciplinary actions or complaints faced.
14. Review all filled sections for accuracy. After completing the form, you may save your changes, download, print, or share the application as needed.

Complete your application online today to ensure your professional liability is adequately covered.