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Due to changes in our questions and underwriting, we ask that you fill out this form to help us verify information you submitted last year. This will only take a few minutes.

Thank you for your understanding as we improve our renewal process.

Questions? Contact us at insurance@zeguro.com or (855) 980-0660.

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Where is your company headquartered?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What is your company's industry?

Industry option 1
Industry option 2
Businesses
Individuals
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What are your company details?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

How much cyber insurance coverage would you like?

$1,000,000
or less
More than $1,000,000
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What is (Company)'s revenue and number of employees?

attach_money
None
Less than 20%
Between 20% and 50%
Greater than 50%
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What are (Company)'s operating expenses?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What customer data does (Company) store?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

How many sensitive* third-party records does (Company) store?

None
Less than 50,000 Records
Between 50,000 and 100,000 Records
More than 100,000 Records
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

How often does (Company) back up its data?

We don’t backup our data
Monthly
Daily
1 day or less
2 to 30 days
30 days or more
Does (Company) keep backups in a secure offsite location?
Yes
No
Does (Company) test its data restore process at least once a month?
Yes
No
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) have access to its customers' IT systems or software?

Including access to, or control over, any of the following:
Yes
No
In those customer systems, does (Company) have access to any of the following types of sensitive data?
Yes
No
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Which industry standards does (Company) comply with?

PCI DSS
NIST CSF
SOC 1/2
ISO 27001/2
ISO 8000/1
GDPR
HIPAA
FINRA
FDIC
HITECH
OTHER
None of these
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Before making payments over $10,000, does (Company) follow these established procedures?

No established processes
Require authorization from multiple internal team members.
Require confirmation from the payee.
(By means other than email, e.g. phone or text messaging)
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Which software & system access controls have been adopted by (Company)?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Is there a security professional managing (Company)’s cybersecurity?

Yes
No
Internal employee
External consultant
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

What data does (Company) encrypt?

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) encrypt all devices (computers, smartphone, etc.)?

Yes. All devices are encrypted
No devices (or only some) are encrypted
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) perform pentests on its systems?

Yes
No
Monthly
Quarterly
Yearly
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) have a process to review company blogs and social posts?

Yes
No
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

In the past 12 months, did you or one of your cloud providers experience an unplanned outage lasting longer than 2 hours?

Yes
No
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Has (Company) experienced a cyber breach or claim in the last 3 years?

Yes
No
Less than $50,000
$50,000 to $150,000
More than $150,000
$10,000 or less
$50,000 or less
$150,000 or less
More than $150,000
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) use any of the following types of security tools?

None of these tools
Firewalls to secure your internal access points and infrastructure
Anti-virus and anti-malware protection on your devices
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Oops! Something went wrong while submitting the form.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Which of these cybersecurity practices does (Company) follow?

None of these practices
Updating and patching critical systems and applications at least once a month
A patch is an update to a computer application to fix security vulnerabilities and other bugs.
Training team members on data privacy and cybersecurity
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Does (Company) have any vendors and/or suppliers who have access to Acme’s business-critical systems or sensitive data?

Yes
No

How does (Company) manage cybersecurity risks from them?

Neither of these practices
We require them to demonstrate adequate security
If they process or store (Company)'s data, we hold them financially responsible for the consequences of a data breach
Thank you! Your submission has been received!
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Has (Company) had a cyber insurance policy in the past?

Yes
No
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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Was that policy cancelled or non-renewed by the insurance provider?

Yes
No
Past Cyber Breach
Non-payment
Provider no longer serves my industry
Other
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

When would you like (Company)’s cyber insurance coverage to begin?

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Oops! Something went wrong while submitting the form.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Coverage Requirements

Another company is asking (Company) to add their name to this policy
(I need to add an "additional insured" to my policy).
(Company) is being asked to obtain cyber insurance as part of a contract or vendor requirement
  • $500K
  • $1M
  • $2M
  • $3M
  • $4M
  • $5M
  • $6M
  • $7M
  • $8M
  • $9M
  • $10M
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Please enter your contact information.

I will manage this policy through the policy period.

Policy Manager Information

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Review your information.

Ensure your info is up to date.

Company Overview

Company Details

Edit
Company name
Company name
Company website
Company website
Work email
Work email

Headquarters

Edit
Headquarters

Industry

Edit
Industry

Employees and Revenue

Edit
Number of Employees
Number of Employees
Projected revenue for next 12 months
Projected revenue for next 12 months
Percent of revenue from selling goods or providing services on the internet
Percent of revenue from selling goods or providing services on the internet
Operating expenses
Operating expenses

Data

Customer Data You Store

Edit
# of Social Security numbers
# of Social Security numbers
# of credit cards, debit cards, and bank accounts
# of credit cards, debit cards, and bank accounts
# of health care records
# of health care records

Third Party Data You Store

Edit
# of records
# of records
Total 3rd party records
Total 3rd party records

Data Encryption

Edit
Do you encrypt your data?
Do you encrypt your data?
When is your data encrypted?
When is your data encrypted?

Data Backup

Edit
Do you back up your data?
Do you back up your data?
How often do you back up your data?
How often do you back up your data?
How long does (Company) retain these backups?
How long does (Company) retain these backups?

Business Practices

Industry Standards and Security Policies

Industry standards you comply with
Edit
Industry standards you comply with
Security policies you use
Edit
Security policies you use

Cybersecurity Management

Edit
Does a security professional manage (Company)'s cybersecurity?
Does a security professional manage (Company)'s cybersecurity?
Who is managing (Company)'s cybersecurity?
Who is managing (Company)'s cybersecurity?

External Security Tests

Edit
Do you perform external security tests?
Do you perform external security tests?
How often do you perform external security tests?
How often do you perform external security tests?

Blogs and Social Posts

Edit
Do you have a process to review your own blogs and social posts?
Do you have a process to review your own blogs and social posts?

Insurance Details

Prior Claim

Edit
Has (Company) experienced a cyber breach or claim in the last 3 years?
Has (Company) experienced a cyber breach or claim in the last 3 years?
What was the total estimated monetary impact of the breach or claim?
What was the total estimated monetary impact of the breach or claim?

Prior Insurance

Edit
Has (Company) previously had a cyber insurance policy?
Has (Company) previously had a cyber insurance policy?
When did this this policy begin?
When did this this policy begin?
Was that policy cancelled or non-renewed by the insurance provider?
Was that policy cancelled or non-renewed by the insurance provider?
What was the reason for the cancellation?
What was the reason for the cancellation?

Coverage Start Date

Edit
When would you like your coverage to begin?
When would you like your coverage to begin?

Additional Insured

Edit
Is another company asking you to add their name to this policy?
(An additional insured.)
Is another company asking you to add their name to this policy?
(An additional insured.)
Who is the additional insured?
Who is the additional insured?

Contract or Vendor Requirement

Edit
I am being asked to obtain cyber insurance as part of a contract or vendor requirement.
I am being asked to obtain cyber insurance as part of a contract or vendor requirement.
What limit are they requesting?
What limit are they requesting?

Your Contact Information

Edit
Your Contact Information

Policy Manager

Edit
Policy Manager

Warranty

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Submit My Application
Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

Oh no! We don't support your industry as yet.

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.

You've already submitted a request for a quote.

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Insurance underwritten by Zeguro Insurance Services LLC.
Licensed in all 50 states and the District of Columbia.
Questions? Contact us at (855) 980-0660.
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