Employment Practices Liability

Otherwise known as EPLI, Employment Practices Liability Insurance helps protect you against claims from your employees that result from the general conduct of your business. Common examples of employee related claims include claims relating to: Discrimination, Wrongful Discharge, Sexual Harassment, Hostile Working Environment, Wrongful Termination and Lack of Advancement.

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Request A Quote

Please take a moment to fill out the form below and one of our local insurance agents will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.

Employment Practices Liability Insurance Quote Request

Your Full Name (required)

Company Name:

Address:

City:

Select a State:

Zip Code:

Business Phone Number: (required)

Business FAX:

Your Email: (required)


Employee Information

No. of F-T Employees:    No. of P-T Employees:

No. of Employees within Salary Range:

$1-30K:    $30K-50K:    $50K-100K:    > $100K:


Prior/Pending Claims

Within the past 5 years, has any administrative hearing / claim been made or is now pending against the organization?
 Yes No

Is any person aware of any fact or circumstance that may give rise to a claim under this policy?
 Yes No


Operations/Procedures

Nature of Operations:

Does the insured have written policies/procedures on?

Hiring/Firing:  Yes No
Sexual Harassment:  Yes No
Discrimination:  Yes No

Is there a Human Resource Department?  Yes No


Miscellaneous Information

Has there been, or is there anticipated to be any reduction in staff in the past / future 12 months? If YES, explain:  Yes No

Does the Insured have an "Employment At Will" statement?  Yes No

Does the handbook state that it is "not a contract"?  Yes No

Is EPL coverage in place currently? If YES:  Yes No

a) Inception date of first policy:

b) Current Carrier:


Claims

Any claims in last 3 years?  Yes No

If Yes, please describe.


Additional Comments or Questions:

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Please click the “Submit Quote Request” button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.