Management Liability Application

Templates

All

Insurance

Use this template

Datapoint

Description

This is some text inside of a div block.

Named Insured

Legal name of the individual or organization applying for management liability insurance.

Named Insured Address

Mailing address of the applicant, including street, city, state, and ZIP code.

Entity Type

Type of business structure (e.g., Corporation, LLC, Partnership, Nonprofit).

Federal Employer Identification Number (FEIN)

Unique tax identifier for the applying organization.

Requested Effective Date

Desired start date for the policy coverage.

Requested Expiration Date

Desired end date for the policy term.

Continuity Date

Date used to determine knowledge of prior incidents for claims eligibility.

Executive Liability (D&O)

Requested coverage for directors, officers, and executives for claims related to management decisions.

Executive Indemnification

Company reimbursement coverage for executives named in a covered claim.

Organization Liability

Coverage for claims brought directly against the entity itself.

Employment Practices Liability (EPL)

Coverage for employment-related claims such as wrongful termination, discrimination, or harassment.

Fiduciary Liability

Coverage for mismanagement of employee benefit or retirement plans.

Professional Liability (E&O)

Requested coverage for errors, omissions, or professional negligence by the entity or executives.

Investor Defense

Defense coverage for claims brought by investors or shareholders.

Shareholder Derivative Demand Costs

Coverage for legal expenses related to shareholder derivative actions.

Voluntary Compliance Program

Coverage for voluntary disclosures to regulatory bodies under accepted programs.

Wage and Hour Defense Coverage

Defense cost coverage for wage and hour violation claims (where available).

Employed Lawyers Liability

Coverage for in-house legal counsel employed by the organization.

Biometric Claims Coverage

Coverage for liability arising from biometric data collection or use.

Nuclear Energy Liability

Disclosure of operations or activities that may require specialized nuclear liability coverage.

Prior Acts Coverage

Indication of whether coverage should extend to incidents prior to the policy's effective date.

Known Claims or Incidents

Disclosure of any pending or known claims, investigations, or circumstances that may lead to a claim.

Specific Matter Declaration (E&O or Other)

Declaration of any specific exposures or business activities that may require special underwriting.

Current Insurance Program

Details of any current or past management liability insurance policies, including carrier name and expiration date.

A management liability application gathers comprehensive details about the applicant and their requested coverage to protect organizations and executives from a wide range of risks. It begins with core applicant information, including the named insured, mailing address, entity type, FEIN, and policy dates such as the effective, expiration, and continuity dates. These details establish eligibility and ensure accurate underwriting.

Feathery’s AI extracts and organizes requested coverage sections including Executive Liability (D&O), Executive Indemnification, Organization Liability, Employment Practices Liability (EPL), Fiduciary Liability, and Professional Liability (E&O). The template also captures optional coverages such as Investor Defense, Wage and Hour Defense, Shareholder Derivative Demand Costs, Voluntary Compliance Program, Employed Lawyers Liability, Biometric Claims Coverage, and Nuclear Energy Liability disclosures. Prior acts coverage requests, known claims or incidents, and specific matter declarations are also identified to ensure proper risk assessment. Additionally, the system pulls data on current or prior management liability insurance programs for context.

By automating extraction of these detailed disclosures and coverage requests, Feathery streamlines the underwriting process, improves data accuracy, and enables faster turnaround for management liability policies while ensuring organizations and their executives are properly protected.

Related templates

ACORD 25

ACORD 26

ACORD 27

Management Liability Quote

Management Liability Policy