Cyber | Blue Paddle Insurance Agency, LLC

Effective Date

Business headquarters address(Required)

Street Address Address Line 2 City State ZIP Code

Description of business(Required)

Website or email domain(Required)

Please provide the domain for the primary website or email owned and operated by the insured. This information is used to accurately price this risk and enables carrier to offer tailored recommendations to improve the insured's cybersecurity. The policyholder will not be contacted or notified as part of this scan.

Annual revenue(Required)

Number of employees(Required)

1-25

26-50

51-250

251-1000

1001 +

Within the last 3 years, has the company suffered a cyber incident resulting in an insurance claim in excess of $25,000?

Yes

Is the company aware of any circumstance that could give rise to a claim under this insurance policy?

Yes

Does the company implement encryption on laptop computers, desktop computers, and other portable media devices?

Yes

Does the company collect, process, store, transmit, or have access to any Payment Card Information (PCI), Personally Identifiable Information (PII), or Protected Health Information (PHI) other than employees of the company?

Yes

How many PII or PHI records does the company collect, process, store, transmit, or have access to?

No records

Under 100,000

100,000 - 500,000

500,000 - 1,000,000

More Than 1,000,000

What is the estimated annual volume of payment card transactions (credit cards, debit cards, etc.)?

No records

Under 100,000

100,000 - 500,000

500,000 - 1,000,000

More Than 1,000,000

Within the last 3 years has the company been subject to any complaints concerning the content of its website, advertising materials, social media, or other publications?

Yes

Does the company enforce procedures to remove content (including third party content) that may infringe or violate any intellectual property or privacy right?

Yes

Does the company maintain at least weekly backups of all sensitive or otherwise critical data and all critical business systems offline or on a separate network?

Yes

Does the company require a secondary means of communication to validate the authenticity of funds transfers (ACH, wire, etc.) requests before processing a request in excess of $25,000?

Yes

Email to contact you(Required)

Phone number to contact you(Required)

May we contact you with updates?

Yes

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