1. Forms
  2. CY

Cyber Insurance

24 forms available for CY

Coverage (7 forms)

Form Code Title Latest Edition States
CY 00 01Commercial Cyber Insurance Policy 05 14 All States
CY 00 02COMMERCIAL CYBER INSURANCE POLICY 11 21 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV, WY
CY 00 03Information Security Protection Cyber Policy 11 21 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV, WY
CY 00 10Information Security Protection Cyber Policy 01 18 CA, FL, VI
CY 00 11Financial Institutions Information Security Protection Cyber Policy 01 18 All States
CY 00 12Media And Information Security Protection Cyber Policy 01 18 All States
CY 00 13Media And Information Security Protection Cyber Policy 01 18 All States

Declaration (2 forms)

Form Code Title Latest Edition States
CY DS 01INFORMATION SECURITY PROTECTION CYBER POLICY DECLARATIONS 11 21 All States
CY DS 02Commercial Cyber Insurance Policy Declarations 05 14 All States

Endorsement (14 forms)

Form Code Title Latest Edition States
CY 10 01Policy Changes 01 18 All States
CY 10 03Nonbinding Arbitration 01 18 AK, AL, CO, CT, DE, GU, ID, IL, IN, KS, MD, ME, MI, MN, MS, NC, ND, NH, NJ, NM, NV, OH, OK, PA, RI, SC, TN, UT, VA, WI, WV, WY
CY 10 04Binding Arbitration 01 18 CA
CY 10 05Calculation of Premium 01 18 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV, WY
CY 20 01Supplemental Extended Reporting Period 01 18 CA
CY 20 02Include Specified Individuals As Employees 01 18 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV
CY 20 05AGREED VALUE FOR BUSINESS INCOME 01 18 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV
CY 20 10Provide Coverage For Dishonest, Malicious Or Fraudulent Acts Committed By Employees 01 18 CA, FL, VI
CY 20 11Provide Coverage for Unintentional Errors and Omissions 01 18 CA, FL, VI
CY 20 13Computer And Funds Transfer Fraud 01 18 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, IL, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV, CA
CY 20 14Computer Fraud 01 18 AK, AL, AR, AZ, CO, CT, DC, DE, GU, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WI, WV, WY
CY 20 15Telephone Toll Fraud 01 18 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GU, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VI, WI, WV, WY
CY 20 20Additional Insured – Designated Person or Entity 01 18 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GU, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VI, WI, WV, WY
CY 20 37AMEND RETENTION – BUSINESS INCOME AND EXTRA EXPENSE – WAITING PERIOD (CCI) 11 21 All States

Exclusion (1 forms)

Form Code Title Latest Edition States
CY 20 07Exclusion – Regulatory Agency 01 18 CA, FL, VI