Templates

Umbrella Application

Umbrella Application

All
Insurance
Use this template
Datapoint
Description
This is some text inside of a div block.
This is some text inside of a div block.
Named Insured
Legal name of the individual or business applying for coverage.
Mailing Address
Full address of the insured, including street, city, state, and ZIP code.
Entity Type
Business structure of the applicant (e.g., Corporation, LLC, Sole Proprietor).
FEIN / SSN
Federal Employer Identification Number or Social Security Number for tax and underwriting purposes.
Producer / Agency Name
Name of the insurance agent or agency submitting the application.
Requested Effective Date
Date the umbrella policy coverage should begin.
Requested Expiration Date
Date the umbrella policy coverage should end.
Requested Umbrella Limit
Total limit of liability coverage requested.
Underlying Insurer Name
Carrier providing the underlying liability coverage.
Underlying Policy / Quote Number
Identifier for the underlying policy.
Underlying Liability Limits
Limits of liability for the underlying policy.
Underlying Effective Date
Start date of the underlying policy.
Underlying Expiration Date
End date of the underlying policy.
Coinsurance Percentage
Percentage of a loss the insured agrees to retain before umbrella applies.
Deductible Structure
Structure and amounts of applicable umbrella deductibles.
Insured Location Address
Address of the property or operation being covered.
Classification Code
Classification number assigned to the business activity.
Classification Description
Narrative description of business operations or exposures.
Classification Rating Basis
Basis used to calculate premiums, such as payroll or sales.
TRIA Coverage Requested
Indicates if Terrorism Risk Insurance Act coverage is requested (Yes/No).
Additional Insured Name
Other parties to be covered under the umbrella policy.
Policy Exclusions
Listed operations or exposures excluded from coverage.
Supporting Document Name
Names or descriptions of attached supporting documents (e.g., loss runs, underlying policy declarations).

An umbrella insurance application collects key information about the applicant, underlying liability policies, and requested coverage to provide excess protection above primary insurance. It includes applicant details such as the named insured, mailing address, entity type, FEIN or SSN, and producer information, along with requested effective and expiration dates and the umbrella liability limit.

Feathery’s AI extracts underlying insurance details including carrier name, policy number, liability limits, and effective dates. It also captures coverage structure elements such as coinsurance percentage, deductible amounts, and classification information tied to payroll, sales, or other rating bases. Additional data points include TRIA coverage requests, additional insureds, policy exclusions, and supporting documentation like loss runs or declarations. Automating these inputs streamlines underwriting, improves data accuracy, and ensures faster processing for umbrella liability applications.

Related templates

ACORD 25

Learn more

ACORD 26

Learn more

ACORD 27

Learn more

Umbrella Quote

Learn more

Umbrella Policy

Learn more