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Click ‘Get Form’ to open the philadelphia flexi plus five application in the editor.
Begin with Section 1: General Information. Fill in the name of your Parent Organization, any changes in address, and designate a billing contact. Ensure all fields are completed accurately.
Proceed to Section 2: Directors and Officers. Answer questions regarding any changes in operations or management within the past year.
If Employment Practices Liability coverage is desired, complete Section 3 by providing employee count information and details on terminations or anticipated layoffs.
For Fiduciary Liability coverage, fill out Section 4 with details about plans for which coverage is requested, including assets and contributions.
In Section 5: Workplace Violence, indicate if there have been any new work locations or changes in employment procedures.
Complete Section 6: Internet Liability if applicable, detailing any new websites created or material changes made to existing sites.
Finally, finish with Section 7: General Summary. Confirm if there has been any litigation and provide details of anticipated operational changes.
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