NAICS 622

Hospitals

Forms written for this kind of business. Core coverage forms and general endorsements apply to every account and are not listed here.

Commercial General Liability (ISO CG)

2 forms

Form Code	Title	Type	Who needs it
CG 22 44	Exclusion – Services Furnished By Health Care Providers	Exclusion	Healthcare facilities, clinics, senior living, schools and other organizations that employ or use health care providers.
CG 24 03	Waiver Of Charitable Immunity	Endorsement	Charitable organizations in states that recognize charitable immunity.

Commercial Liability Umbrella (ISO CU)

3 forms

Form Code	Title	Type	Who needs it
CU 04 44	Sexual Abuse Or Sexual Molestation Liability Coverage	Coverage	Organizations that care for or supervise children, students or vulnerable adults.
CU 34 44	Broad Abuse Or Molestation Exclusion	Exclusion	Organizations that care for or supervise children, patients, students or vulnerable adults.
CU 34 45	Sexual Abuse Or Sexual Molestation Exclusion	Exclusion	Organizations that care for or supervise children, patients, students or vulnerable adults.

Commercial Excess Liability (ISO CX)

2 forms

Form Code	Title	Type	Who needs it
CX 21 93	Broad Abuse Or Molestation Exclusion	Exclusion	Organizations that care for or supervise children, patients, students or vulnerable adults.
CX 21 94	Sexual Abuse Or Sexual Molestation Exclusion	Exclusion	Organizations that care for or supervise children, patients, students or vulnerable adults.

Equipment Breakdown Protection (ISO EB)

3 forms

Form Code	Title	Type	Who needs it
EB 00 20	Equipment Breakdown Protection Coverage Form	Coverage	Any commercial account with boilers, HVAC, electrical, refrigeration, production or computer equipment whose breakdown would cause property damage or business interruption.
EB DS 07	Equipment Breakdown Protection Coverage Form Declarations	Declaration	Any commercial account with boilers, HVAC, electrical, refrigeration, production or computer equipment whose breakdown would cause property damage or business interruption.
EB DS 09	Equipment Breakdown Protection Coverage Form Renewal Endorsement	Declaration	Any commercial account with boilers, HVAC, electrical, refrigeration, production or computer equipment whose breakdown would cause property damage or business interruption.

Employment-Related Practices Liability (ISO EP)

1 forms

Form Code	Title	Type	Who needs it
EP 01 19	Liability To Volunteers	Endorsement	Nonprofits, religious organizations, schools, hospitals and other organizations that use volunteers.

Commercial Inland Marine – ISO IH Series Forms

1 forms

Form Code	Title	Type	Who needs it
IH 00 89	Scientific And Medical Diagnostic Equipment Coverage Form	Coverage	Hospitals, imaging centers, laboratories, clinics, universities and research facilities with high-value diagnostic or scientific equipment.

Management Protection (ISO MP)

1 forms

Form Code	Title	Type	Who needs it
MP 00 06	Not-For-Profit Management Liability Coverage Form	Coverage	Charities, associations, foundations, religious and civic organizations, schools and other not-for-profits.

Professional Liability - Medical and Allied Health (ISO PR)

8 forms

Form Code	Title	Type	Who needs it
PR 00 03	Hospital Professional Liability Coverage Form (Occurrence Version)	Coverage	Hospitals.
PR 00 04	Hospital Professional Liability Coverage Form (Claims-Made Version)	Coverage	Hospitals.
PR 02 00	Earlier Notice Of Cancellation Provided By Us	Endorsement	Medical professionals and facilities whose hospital privileges, contracts or lenders require longer cancellation notice.
PR 03 00	Deductible Liability Insurance (For Use With Blood Banks And Hospital Policies)	Endorsement	Insureds on PR 00 03 or PR 00 07 that accept a deductible.
PR 21 01	Exclusion - Employees As Insureds	Exclusion	Medical practices and facilities whose employees carry their own professional liability or are insured elsewhere.
PR 24 01	Non-Binding Arbitration	Condition	Insureds on ISO PR forms where the carrier uses arbitration provisions.
PR 24 02	Binding Arbitration	Condition	Insureds on ISO PR forms in states where the carrier uses arbitration provisions.
PR DS 02	Hospital Professional Liability Declarations	Declaration	Insureds written on PR 00 03 or PR 00 04.