Fiduciary Liability Applications and Forms

Being a Fiduciary is a lot of responsibility and potential liability. As a fiduciary your clients may be putting their own assets at risk as they can be held personally liable for breaches of fiduciary duty and other acts, as well as errors and omissions that harm the plan’s participants. That is why Fiduciary Liability coverage is important for the well-being of any company and its fiduciaries.

Applications and Forms:

Asset Management, Financial Institutions and Insurance Companies

Multi-Coverage Applications - SelectOne+® Asset Management Firms

  • New Business - Investment Advisers and Funds
  • Renewal - Investment Advisers and Funds
  • New Business - Private Equity
  • Renewal - Private Equity
  • New/Renewal – Small Investment Advisers Application (for use by Registered Investment Advisers with up to $2 Billion in Assets Under Management and do not manage investment funds)

Multi-Coverage Applications - SelectOne+® Financial Institutions and Insurance Companies

Stand-Alone Applications - SelectOne+® Financial Institutions and Insurance Companies 

Supplemental Application

State Application Notices

Sample Policy Forms - SelectOne+® Asset Management Firms

Sample Policy Forms - SelectOne+® Community Banks, Credit Unions and Insurance Companies

Private Companies and Nonprofit Organizations

Multi-Coverage Applications - Wrap+® 

Stand-Alone Applications - Wrap+®

Supplemental Application

Small Business Applications

These applications accepted for nonprofit organizations with 30 or fewer employees and $5 million or less in assets and $5 million or less in revenues or privately held companies with 250 or fewer employees and $100 million or less in assets and $100 million or less in revenues.

Designated Benefit Plan Applications

State Application Notices

Sample Policy Forms - Fiduciary

Sample Policy Forms - Designated Benefit Plan

Public Companies

Multi-Coverage Applications - Executive Choice+®

Stand-Alone Applications - Executive Choice+®

State Application Notices

Sample Policy Forms