Applications
Yes
Professional and executive lines applications
Accountants
Submit the appropriate application(s) by emailing it to aplsub@hanover.com or faxing it to 508-635-1720.
- New business application
- Renewal application
- New business tax application
- Representation statements
- Claim/incident supplement
Questionnaires
- Financial institution questionnaire
- Financial planning investment questionnaire
- Funds controlled questionnaire
- Information technology questionnaire
- Investment venture questionnaire
- Mergers and acquisitions questionnaire
- Multiple location questionnaire
- Non-profit entity questionnaire
- Non-public audit questionnaire
- Outside interest questionnaire
- Public and private offerings questionnaire
- Public company questionnaire
- Separate entity questionnaire
- Trust or estate questionnaire
Allied Healthcare
Email the completed submission requirements to DMESUB@hanover.com.
Durable Medical Equipment
- Durable Medical Equipment Advantage new business
- Durable Medical Equipment Advantage renewal
- Data breach (required for data breach limits over $10,000)
Healthcare facilities
The applications below are common applications required for all accounts*.
- Allied Healthcare facilities common application
- Data breach (*required for data breach limits over $10,000)
The following applications are facility-specific. Select the appropriate additional application below.
- Ambulatory surgery centers
- Behavioral health facility
- Blood bank
- Clinical hyperbaric medical facilities
- Clinic
- Dialysis
- Eye bank
- Laboratories
- Medical imaging and diagnostic testing
- Rehabilitation
- Sleep clinic and laboratories
- Urgent care, convenience care and occupational clinics
Home Healthcare
- Home healthcare new business
- Home healthcare renewal
- Data breach (required for data breach limits over $10,000)
Orthotics and Prosthetics
Pharmacies
Architects and engineers
Submit the appropriate application by emailing it to aenewbiz@hanover.com.
- Architects and engineers new business application (all states excluding NY)
- Small firm new business application – for firms with $500,000 in annual gross billings or less (all states excluding NY)
NY
Contact Margaret Teta, Regional Distribution Director, for New York applications.
Cyber
- Data Breach & Cyber Liability Supplemental Application
- Hanover Cyber Advantage Pro New Business Application
- Hanover Cyber Advantage Pro New Business Application (for use in WA and SD)
- New York Free Trade Zone Hanover Cyber Advantage Pro New Business Application
- Hanover Cyber Advantage Pro Renewal Application
- Hanover Cyber Advantage Pro Renewal Application (for use in WA and SD)
- New York Free Trade Zone Hanover Cyber Advantage Pro Renewal Application
- Hanover Cyber Advantage Pro Supplemental Questionnaire
- Small Firm Cyber supplemental questionnaire
Eldercare
Email the completed submission requirements to ELDRCARESUB@hanover.com.
- Eldercare Advantage new business supplemental application
- Eldercare Advantage independent living facility supplemental application
- Eldercare renewal application
- Data breach (required for data breach limits over $10,000)
Lawyers
Submit the appropriate application and questionnaires by emailing them to lplsubs@hanover.com.
Applications (for business effective on or after June 1, 2021)
- LPL new business application (all states excluding KS and NY)
- Kansas LPL new business application
- New York LPL new business application
- LPL renewal application (all states excluding KS)
- Kansas LPL renewal application
- LPL bridge application (all states excluding KS)
- Kansas LPL bridge application
- LPL claim supplemental application
- LPL new lawyer supplemental application (all states excluding KS)
- Kansas LPL new lawyer supplemental application
- LPL roster of lawyers
- LPL title agency supplemental application (all states excluding KS)
- Kansas LPL title agency supplemental application
Questionnaires
- LPL class action questionnaire
- LPL combined AOP supplemental questionnaire
- LPL cyber privacy security questionnaire
- LPL disciplinary questionnaire
- LPL EB-5 questionnaire
- LPL entertainment questionnaire
- LPL environmental practices questionnaire
- LPL fee suit questionnaire
- LPL financial institution questionnaire
- LPL firm management questionnaire
- LPL insurance defense questionnaire
- LPL intellectual property questionnaire
- LPL Middle Market risk management questionnaire
- LPL oil gas and minerals questionnaire
- LPL outside interest questionnaire
- LPL predecessor firm questionnaire
- LPL securities questionnaire
Management liability
Available coverage parts include directors and officers liability, employment practices liability, fiduciary liability, fidelity and crime, kidnap/ransom and extortion and cyber privacy and security. Email the completed submission to your underwriter.
Private Company Portfolio Advantage applications
- Private company new business application (all states excluding NH and NY)
- New Hampshire private company new business application
- New York private company new business application
- Private company renewal application (all states excluding NH and NY)
- New Hampshire private company renewal application
- New York private company renewal application
Nonprofit Entity Portfolio Advantage applications
- Nonprofit new business application (all states excluding MA, NH and NY)
- Massachusetts nonprofit new business application
- New Hampshire nonprofit new business application
- New York nonprofit new business application
- Nonprofit renewal application (all states excluding MA, NH and NY)
- Massachusetts nonprofit renewal application
- New Hampshire nonprofit renewal application
- New York nonprofit renewal application
Supplemental applications
Contact your underwriter for state-specific supplemental applications.
- Claim supplemental application (all states excluding NH and NY)
- Third-party fidelity supplemental application (all states excluding AK, LA, NH and NY)
- Computer fraud and funds transfer supplemental crime application (all states excluding AK, NH and NY)
- Employee stock ownership plan supplemental application (all states excluding MA, NH and NY)
- Foreign operations supplemental application (all states excluding AK, NH and NY)
- Healthcare institutions supplemental crime application (all states excluding AK, NH and NY)
- Wage and hour supplemental employment practices application (all states excluding NH and NY)
Miscellaneous professionals
Submit the appropriate application by emailing it to mplsub@hanover.com.
- Miscellaneous professional liability new business application
- Miscellaneous professional liability small firm new business questionnaire - for firms with less than $15M in revenue
- Miscellaneous professional liability renewal application
- Real estate MPL new business application
- Real estate MPL renewal application
Supplements
- Beauty salon, barber and spa supplemental application
- Bookkeeping and tax preparation supplemental application
- Claims adjusters supplemental application
- Consultants supplemental application
- Employment agency and executive recruiting supplemental application
- Event planner supplemental application
- Franchisor supplemental application
- Freight broker supplemental application
- Graphic designer supplemental application
- Home inspector supplemental application
- Interior design supplemental application
- Investigative agency supplemental application
- Media supplemental application
- Medical billing supplemental application
- Mortgage broker supplemental application
- Property managers supplemental application
- Property preservation/mortgage field services supplemental application
- Technology supplemental application
- Third-party administrators supplemental application
- Travel agent supplemental application
- Trustee supplemental application
Standalone fidelity and crime
Email submissions to FIDCRIMESUB@hanover.com. Contact your underwriter for state-specific applications and supplemental applications.
Applications
For stand-alone public company crime business, complete the appropriate New Business or Renewal application available below. For stand-alone private company crime business, complete the appropriate New Business or Renewal application available in the Private Company Portfolio Advantage Applications section above.
- Fidelity and crime new business application (for stand-alone public company crime business)
- Fidelity and crime renewal application (for stand-alone public company crime business)
- Condominium associations/property managers application (all states excluding AK, LA, NH and NY)
- False pretense questionnaire
- E-Z ERISA application for most states
- E-Z ERISA application for IL, IN, MI, NY and WI
- E-Z ERISA application for AK, CA, ID, KY, MT, NE, NV, NM, OR and UT
- E-Z ERISA application for WA
Supplemental applications
- Computer fraud and funds transfer supplemental crime application (all states excluding AK, NH and NY)
- Construction entity supplemental application (all states excluding AK, NH and NY)
- Healthcare institutions supplemental crime application (all states excluding AK, NH and NY)
- Law firm supplemental application (all states excluding AK, NH and NY)
- Property management questionnaire
- Third-party fidelity supplemental application (all states excluding AK, LA, NH and NY)