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Box 1615, Warren, NJ 07061-1615 APPLICATION EMPLOYMENT PRACTICES LIABILITY POLICY UNDERWRITTEN IN FE

Box 1615, Warren, NJ 07061-1615 APPLICATION EMPLOYMENT PRACTICES LIABILITY POLICY UNDERWRITTEN IN FE-2025

Box 1615, Warren, NJ 07061-1615 APPLICATION EMPLOYMENT PRACTICES LIABILITY POLICY UNDERWRITTEN IN FE Preview on Page 1

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The document is an application for Employment Practices Liability Insurance (EPLI) from Chubb Group of Insurance Companies. It outlines the necessary information required from the applicant organization, including details about the organization, its employment practices, past activities related to employment lawsuits, and continuity of prior coverage. The policy is claims-made and emphasizes that defense costs may exhaust liability limits. The application must be signed by the Director of Human Resources and includes a warning against providing false information.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A: General Information. Fill in the name and address of the Parent Organization, state of incorporation, date established, and nature of business.
Continue by providing the name of your agent and the requested policy period. Specify coverage limits for each loss and policy period.
In Section A, also indicate the total number of employees across various categories including U.S. employees and unionized employees.
Move to Section B: Employment Policies and Practices. Answer questions regarding employment counsel, contracts, outplacement services, and termination procedures.
Proceed to Section C: Past Activities. Attach a list of any employment lawsuits from the past three years and answer questions about current judicial orders or existing insurance.
Complete Sections D and E if applicable, ensuring all necessary attachments are included as specified in Section F.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does DO insurance cover employment practices?

Directors Officers Liability Insurance often includes Employment Practices Liability and can sometimes include Fiduciary Liability. The former involves harassment and discrimination suits, and is where the majority of your exposure will be.

What is the difference between employment practices liability and EO?

Is EPLI the Same As Errors and Omissions Coverage? No, EPLI and Errors and Omissions (EO) insurance are distinct coverages. Generally, EPLI provides protection from certain employment-related claims, while EO covers liabilities stemming from customer or client claims.

What is excluded in an employment practices liability policy in an insurance policy?

EPLI typically excludes claims that you violated certain federal statutes, such as the Occupational Safety and Health Act (OSHA), Employee Retirement Income Security Act (ERISA) and Worker Adjustment and Retraining Notification Act (Warn Act).

Does DO cover employment practices?

DO policies also provide coverage for claims against individuals arising from an Employment Wrongful Act or sometimes referred to as a Employment Practices Violation in some policies.

What does DO insurance not cover?

Common Employment Practices Liability Exclusions Bodily Injury. Criminal and Fraudulent Acts. Punitive or Exemplary Damages. Strikes and Lockouts. Violation of Employment Laws and Other Regulations. Wage and Hour Claims. Workers Compensation Statutes.

What are the exclusions for employment practices liability insurance?

While EPLI can also be beneficial for businesses of any size, the policys aim is to protect the company from allegations from applicants and current or former employees. Whereas DO insurance provides liability protection for claims brought by people outside of a company, such as dissatisfied clients or investors.

What is covered under employment practices liability insurance?

Employment practices liability insurance, known in the trade as EPL insurance or EPLI, provides coverage to employers (PDF) against claims made by employees alleging: Discrimination (based on sex, race, age or disability, for example) Wrongful termination. Harassment.

Box 1615, Warren, NJ 07061-1615 APPLICATION EMPLOYMENT PRACTICES LIABILITY POLICY UNDERWRITTEN IN FE-2025

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