Home
Forms Library
WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD

WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD 2026

See details

4.8 out of 5

24 votes

The EPACK Renewal Application is a document for applicants seeking to renew their claims-made insurance policy. It outlines the necessary information required from the applicant, including general and financial details, employee information, and specific coverage requests. The application emphasizes the importance of understanding the policy provisions, particularly regarding claims made during the policy period and potential changes in business operations that may affect coverage terms. Additionally, it includes warnings about fraudulent applications and requires signatures from authorized company representatives.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Section I: GENERAL INFORMATION. Fill in the Applicant's name, address, and website. Answer the questions regarding mergers or acquisitions by selecting 'Yes' or 'No'.
Proceed to Section II: FINANCIAL INFORMATION. Enter the total assets, liabilities, equity, and revenue for both the most recent and prior fiscal year.
In Section III: INTERNAL CONTROLS, indicate if there have been any weaknesses noted by outside auditors and any compliance changes related to Sarbanes-Oxley.
Move to Section IV: EMPLOYEE INFORMATION. Provide details on full-time employees, part-time seasonal workers, independent contractors, and volunteers.
Complete Section V: REQUESTED LINES OF COVERAGE by specifying limits of liability and retention for each coverage part you are applying for.
Finally, review all sections for accuracy before submitting your application through our platform.

Start filling out your application today for free using our online editor!

See more WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD versions

We've got more versions of the WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD form. Select the right WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2006	4.8 Satisfied (24 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

What coverage is triggered when a claim is first made against the insured?

Claims-made CGL policies are triggered when a claim for BI or PD is first made against an insuredprovided the BI or PD took place after the retroactive date shown in the policy declarations page.

What triggers a claims-made policy to respond to an occurrence?

This is also known as tail coverage. Its important to remember that a claims-made policy covers your business only if the claim is: Filed during your policy period or within your extended reporting period. For a loss occurring on or after your retroactive date.

Which parts of a claims made CGL policy does the claims made language apply to?

A claims made policy covers claims made during the policy period. The event that gave rise to the claim could have happened at any time, as long as the claim (or the written demand) was made during the policy period, and reported to the insurance company as required by the policy.

What is a claims first made policy?

What is a claims-made policy? With a claims-made policy, your coverage only kicks in when you file a claim during the policy period. As long as an insurable event happened after the policys retroactive date, your insurer should provide coverage. A claims-made policy covers claims filed while your insurance is active.

How to tell if an insurance policy is claims made or occurrence?

A claims-made policy only covers incidents that happen and are reported within the policys timeframe, unless a tail is purchased. An occurrence policy has lifetime coverage for the incidents that occur during a policy period, regardless of when the claim is reported.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What triggers coverage or causes the policy to respond in a claims-made policy?

A claim made while the policy is in force triggers coverage for a claims-made policy. The insurance company is obligated to defend the policyholder and pay for the claims. The insurance policy will include a specified period in which coverage applies, and any claims made during that time are covered under the policy.

What is the coverage trigger in insurance?

Under a claims-made policy, the coverage is triggered if the claim against the insured was made (and reported to the insurer) during the policy period, irrespective of when the injury or damage occurred.

WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD 2026

Here's how it works

How to use or fill out WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD

See more WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD versions

Complete this form in 5 minutes or less

Got questions?

What coverage is triggered when a claim is first made against the insured?

What triggers a claims-made policy to respond to an occurrence?

Which parts of a claims made CGL policy does the claims made language apply to?

What is a claims first made policy?

How to tell if an insurance policy is claims made or occurrence?

Security and compliance

Complete this form in 5 minutes or less

People also ask

What triggers coverage or causes the policy to respond in a claims-made policy?

What is the coverage trigger in insurance?

Related links

Try more PDF tools

WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD 2026

Here's how it works

How to use or fill out WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD

See more WITH RESPECT TO ALL COVERAGE PARTS, THE POLICY YOU ARE APPLYING FOR IS A CLAIMS-MADE POLICY, AND SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM FIRST MADE DURING THE POLICY PERIOD versions

Complete this form in 5 minutes or less

Got questions?

What coverage is triggered when a claim is first made against the insured?

What triggers a claims-made policy to respond to an occurrence?

Which parts of a claims made CGL policy does the claims made language apply to?

What is a claims first made policy?

How to tell if an insurance policy is claims made or occurrence?

Related Searches

Security and compliance

Related forms

Complete this form in 5 minutes or less

People also ask

What triggers coverage or causes the policy to respond in a claims-made policy?

What is the coverage trigger in insurance?

Related links

Try more PDF tools