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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?

$500,000
or less
$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.

How does (Company) encrypt sensitive data*?

Are all sensitive data* stored in an encrypted format, encrypted drive, or in secure cloud services?
Yes
No
When sending and receiving sensitive data*, is it done using encrypted channels (e.g. secure HTTPS websites, cloud solutions, etc.)?
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 encryption activated on all company devices, such as computers and smartphones?

Yes. All devices are encrypted
Not all devices 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) use Microsoft Exchange Server 2013, 2016, or 2019 (on-premises version, don't include Exchange Online)?

Yes
No
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) 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
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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) 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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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 its 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
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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
Provider no longer serves my industry
Other
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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.

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

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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.

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
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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.

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 correct.

Company Info

Company Details

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

Headquarters

Edit
Headquarters

Industry

Edit
Industry
Customers are primarily businesses
Customers are primarily businesses

Revenue and Number of Employees

Edit
Revenue
Revenue
Percent of revenue from selling goods or providing services on the internet
Percent of revenue from selling goods or providing services on the internet
Number of Employees
Number of Employees

Operating Expenses

Edit
Operating expenses

Requested Coverage

Edit
Requested Coverage

Computer Data and Handling

(Company)'s Customer Data

Edit
Social Security Numbers
Social Security Numbers
Credit Cards and Bank Account Numbers
Credit Cards and Bank Account Numbers
Customer Healthcare Records
Customer Healthcare Records

Sensitive Third-Party Records

Edit
Sensitive Third-Party Records

Data Backup

Edit
Backup Frequency
Backup Frequency
Backup Retention
Backup Retention
Offsite Backup Storage
Offsite Backup Storage
Tests Backup Restoration
Tests Backup Restoration

Data Encryption

Edit
Stored Data
Stored Data
Data in Transit
Data in Transit

Device Encryption

Edit
Device Encryption

Access to Customer’s Systems or Software

Edit
Access to Customer’s Systems or Software

Access to Customer’s Sensitive Data

Access to Customer’s Sensitive Data

Process & Security

Industry Standards

Edit
Industry Standards

Security Policies and Procedures

Edit
Security Policies and Procedures

Software & System Access Controls

Edit
System and data access on a business-need-to-know basis
System and data access on a business-need-to-know basis
Each team member has their own user account to company systems
Each team member has their own user account to company systems
Require multi-factor authentication (MFA)
Require multi-factor authentication (MFA)
Require complex passwords
Require complex passwords
User accounts and access are deleted promptly after termination of employees and contractors
User accounts and access are deleted promptly after termination of employees and contractors

Process for Payments Over $10K

Edit
Require authorization from multiple internal team members
Require authorization from multiple internal team members
Require confirmation from the payee (By means other than email, e.g. phone or text messaging)
Require confirmation from the payee (By means other than email, e.g. phone or text messaging)

Process to Review Blogs and Social Posts

Edit
Process to Review Blogs and Social Posts

Has Security Professional?

Edit
Has Security Professional?
Team member type
Team member type

Security Tools

Edit
Firewalls
Firewalls
Anti-virus and Anti-malware Protection
Anti-virus and Anti-malware Protection
Intrusion Detection Hardware and Software
Intrusion Detection Hardware and Software

Cybersecurity Practices

Edit
Monthly updating and patching of critical systems
Monthly updating and patching of critical systems
Segregating trusted network
Segregating trusted network
Security Training
Security Training

Vendor & Supplier Security Management

Edit
Require demonstration of adequate security
Require demonstration of adequate security
They are held responsible for data breaches exposing (Company)'s data
They are held responsible for data breaches exposing (Company)'s data

Unplanned Outage in Past 12 Months

Edit
Unplanned Outage in Past 12 Months

Microsoft Exchange Server Vulnerable (March 2021)

Edit
Microsoft Exchange Server Vulnerable (March 2021)

Pentesting

Edit
Performs pentesting on own systems
Performs pentesting on own systems

Insurance Info

Cyber Breach or Claim in Last Three Years?

Edit
Cyber Breach or Claim in Last Three Years?
Estimated monetary impact
Estimated monetary impact

Previous Cyber Policy

Edit
Previous Cyber Policy
Canceled or non-renewed by provider
Canceled or non-renewed by provider
Edit
Reason for cancellation
Reason for cancellation

Requested Effective Date

Edit
Requested Effective Date

Coverage Requirements

Edit
Additional Insured
Additional Insured
Contract or Vendor Requirement
Contract or Vendor Requirement
Requested Limit
Requested Limit

Contact Info

Edit
Applicant
Applicant
Policy Manager
Policy Manager

Warranty Statement

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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.
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You've already submitted a request for a quote.

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This form is intended only for our partner, PSA

- or -

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Insurance underwritten by Zeguro Insurance Services LLC.
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This form is intended only for our partner, PSR

- or -

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Insurance underwritten by Zeguro Insurance Services LLC.
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