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Individuals, Families & Groups
Life Insurance
Health Insurance
Group Insurance
Dental Insurance
Medicare Supplement
Disability Income
Long-Term Care
Retirement Accounts

Business Owners, Self-Employed
General Liability
Commercial / Business Ins.
Commercial Auto Insurance
Commercial Property
Umbrella Insurance
Employment Practices
Lessor's Risk
Workers Comp

Medical & Dental Professionals
Medical Malpractice

Garage Liability
Auto Dealers
Auto Repair / Body Shops

Professional Liability
Engineers
Attorneys

Surety Bonds
Auto Dealer Bond
Construction Bond
Contract Bond
Performance Bond
Subdivision Bond
Contractor License Bond
Insurance Brokers Bond
License & Permit Bond
Mortgage Broker Bond
Payment Bond
Probate Bond
Sales Tax Bond
Miscellaneous Bonds


  

Employment Practices Liability Insurance

Employment Practices Liability Insurance (EPLI) helps protect you against claims from your employees resulting from the general conduct of your business. This covers employee-related claims such as discrimination, lack of advancement, hostile working environment, sexual harassment and wrongful discharge or termination.

Name:    (required)
Email:    (required)
Phone:   
Preferred contact:    phone email
   
number of employees:
full-time:   
part-time:   
   
number of employees within the following salary ranges:
$1 - 30,000:   
$30,001 - $50,000:   
$50,001 - $100,000:   
more than $100,000:   
   
Within the past 5 years, has any administrative   
hearing or claim been made or is now pending   
against the organization?   		 yes no
Is any person aware of any fact or circumstance   
that may give rise to a claim under this policy?   		 yes no
   
Nature of operations:   
   
Does the insured have written policies / procedures on...
Hiring / Firing?    yes no
Sexual harassment?    yes no
Discrimination?    yes no
Is there a human   
resource department?   		 yes no

Has there been, or is   
there anticipated to be   
any reduction in staff in   
the past or future   
twelve months:   

 (if yes, explain)
   
Does the insured have an "Employment at Will"   
statement?   		 yes no
Does the handbook state that it is not a contract?    yes no
   
If you already have   
coverage, please list   
provider, expiration   
date and annual   
premium range:   

 
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