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NOTICE: THIS IS CLAIMS MADE AND REPORTED COVERAGE PLEASE 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section 1, Applicant Information. Fill in your name, business name (if applicable), and address details accurately.
  3. Continue by providing contact information including phone number and website. Ensure the proposed effective date is clearly stated.
  4. In Section 2, Prior Insurance Information, list any previous insurance coverage and provide requested limits and deductibles.
  5. Move to Section 3, Operations Information. Detail your personnel structure and annual premium volumes for various lines of coverage.
  6. Complete Section 4 on Risk Management by answering questions about your operational procedures and compliance measures.
  7. Finally, in Section 5, Claims History, disclose any claims or proceedings against you or your firm over the past five years.

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Related links

3 CCR 702-5-1-8-5 - Rules | State Regulations | US Law | LII / Legal

Your claims-made policy has some unique features relating to renewal, extended reporting periods and coverage for events with long periods of potential

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COMMONWEALTH OF MASSACHUSETTS

Jun 14, 2011 Claims-made coverage means an insurance policy or an endorsement to an insurance policy that covers liability for injury or damage that theRead more

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