RB Cyber Insurance - Application Form

Does the applicant use Google Workspace, Microsoft 365 or other similar cloud-based infrastructure with all four of the network security protocols listed in Question 2 enabled at all times?*

Does the applicant implement critical security, anti-virus, and malware patches within 14 days on all devices?*

Is the external network perimeter scanned for vulnerabilities at least quarterly?*

Does the applicant's network contain domain administrative accounts?*

Does the applicant have an incident response plan for network disruptions or security breaches?*

Does the applicant confirm none of its directors or officers are aware of any claims or circumstances that may give rise to a claim or loss under this proposed insurance exceeding $5,000?* Does the applicant provide annual anti-fraud training and verify transactions via secondary communication?*

Is the applicant a platform/app provider for high-risk activities? (Optional) Is the applicant involved in high-risk industries? (Optional)

Cyber Insurance

Application Form

Personal Information (Step 1 of 5)

Company Information (Step 2 of 5)

Insured Information (Step 3 of 5)

Risk Details (Step 4 of 5)

Ransomware Questions

Signature (Step 5 of 5)