The online version of the application is available in ".pdf" format files. These files can be access on the Downloads Page. Instructions for completing them can be found there.
Your application is much easier to complete when you understand what we're looking for, the reasons behind the questions. Following these guidelines will save you time now and eliminate many circumstances that require us to trouble you later for additional information.
If you have any questions about the
application or the Program, feel free to call KVI at 1-800-343- 0132.
1. Firm name, or in the case of an informal association of attorneys, name of each individual attorney applying for coverage.
2. Principal business address, as well as any additional office. The Program is territorially rated, as approved by the California Department of Insurance. Your territory is determined by the county in which your principal business office is located.
3. Include the area code.
4. Actual year for current firm.
5. Should agree with your letterhead, and information on the Individual Attorney Supplement (see below).
6. Number of attorneys listed should correspond with your letterhead. Support staff is included under your coverage at no additional cost.
7. Where the former firm has dissolved and the applicant has assumed the majority of assets and liabilities. If you have questions whether to list a predecessor firm, consult your agent/broker or KVI.
8. You may be eligible for a premium credit if you have completed over the minimum.
9. Determines whether a supplement must be filled out.
10. Determines whether a supplement must be filled out.
11. Determines whether a supplement must be filled out.
12. A. This information is used to determine eligibility for prior acts coverage.
B."Tail Endorsement" - Endorsement to a previous policy providing additional time to report claims and have them covered under that policy.
C. If applicable, this would be on the Declarations Page or an endorsement of your present policy.
13. A&B If you answer "Yes", an appropriate explanation consists of detailed allegations, your response to those allegations, results of any investigations, the ruling or decision by the appropriate administrative agency or bar committee, and any fines, sentences or suspensions handed down against you.
14. A, B&C any "Yes" answer must be fully explained on a Supplementary Claim Form. Do not attach suit papers to your application. We will request further information if it is needed.
15. No question, other than the number of attorneys in your firm, is as important in determining your premium. Some practice specialties require a supplemental application form. These are indicated.
16. If a quote is offered, we will supply you with one for each combination of Limits and Deductible checked. Please note, defense costs are paid out of the Limit of the policy, thereby reducing the amount remaining to pay an award. Maximum limits may apply.
17. Please note, a minimum deductible may apply due to size of firm, areas of practice and/or loss experience (claims). For firms that have an excellent claims history, a "loss only" deductible may be offered.
18. This is additional Defense Cost Coverage (at an additional annual premium) which would be applied solely to defense costs in the event a claim is made against your firm.
19. The Individual Attorney Supplement must be completed even for sole practitioners. "Of Counsel" attorneys should be included on the form if you want them to be insured under this policy.
20. The Administrative Systems and Procedures Supplement must be completed for all new business applications.
21. Self explanatory.
22. Self explanatory.
Please review your application and ensure it is complete. Be sure it is signed and dated. Send us the original, signed application at least 30 days in advance of the desired effective date.
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