CIMA Applications for Acrisure Agency Partners

• CIMA Volunteers Insurance Applications

Traditional Volunteers Application
Court Referred Alternative Sentencing Application
Work-Release Application
Volunteer/Employee Dishonesty Coverage Application

Volunteers Insurance Policies
Volunteers Insurance Forms

• Cyber Liability

• Nonprofit Directors’ and Officers’ Liability Insurance

Nonprofit D & O
NY Only
States:  KY, MO, MS, RI and VA
All Other States

Supplemental Fiduciary Liability
NY Only
States:  KY, MO, MS, RI and VA
All Other States

• For Profit Directors’ and Officers’ Liability Insurance

• GL for 501c3

Risk Retention Group 501c3 Supplemental Application
Accident Insurance Application
Claims Supplemental Application
Directors and Officers Application
Employee Benefits Supplemental Application
Improper Sexual Conduct Supplement Application
Non-Owned & Hired Commercial Auto Supplement
Social Service Professional Liability Supplement

• Group Health and Accident Employee Census Form

• Legal Services and Defender Services Professionals Liability Application

• Miscellaneous Healthcare Applications

Home Healthcare and Non-Physician Medical Staffing
Individual (Non-Physician) Medical Practitioners
Mental Health and Substance Abuse Rehabilitation  Facilities
Non-Emergency Medical Transport Services
Nursing Home, Assisted Living and Independent Living  Facilities

• Miscellaneous Professional Liability Application

• Pension Professional Liability Application

• Personal Lines Supplemental Application

• Personal Lines older home questionnaire

• Social Services GL and Professional Application

• Storage Tank Pollution Liability Application