Data Privacy Group

Cyber Security, Privacy, Compliance, Training, Staffing, and Internal Auditing

Cyber Liabilty Insurance

Cyber Liability Insurance is one of the most essential elements of any Risk Management Programs in any organization.  Business Liability does not cover loss from cybercrimes, breaches, or hardware failures.  Your loss may have resulted from 3rd parties and had nothing to do with anything you could have prevented, but in an increasingly regulatory environment, your business and your financial well being could be at risk without the proper Cyber Insurance Policy in place.

Data Privacy Group offers Policies from $250,000 for $99/month up to $100 Million!  All of our policies include Dark Web Monitoring, Phishing Simulations, and Vulnerability Testing.  

For a Free Quote, Fill Out the form below:

Cyber Liability Insurance Quote Form

Your Please answer all the following questions on this form. Before any question is answered please carefully read the declaration at the end of the application form, which you are required to sign. Underwriters will rely on the statements that you make on this form. PLEASE TAKE CARE IN FILLING OUT THIS FORM.message

*PII is defined as a personally identifiable record on a person that can be used to identify, contact or locate a single individual.

Please identify the type of PII retained on your network:

Payment Card Data
Personnel Records
Health Care Records
Drivers License
Social Security Numbers
Home Address
If you process or store payment card data, are you PCI-DSS Compliant?
Do you have firewalls in force across your network?
Do you have anti-virus software in force across your network including all desktops, laptops, servers (excluding database servers); and is the anti-virus software updated on, at least, a monthly basis?
Do you have a written Incident Recovery or Business Continuity plan in force for network security incidents and network outages?
Do you back-up your computer system and network data on, at least, a monthly basis?
Is all sensitive and confidential information, including PII, stored on your networks, systems and databases encrypted?
Are all company portable and mobile devices encrypted?

*Please select N/A if either you do not have company mobile devices and/or it is company policy not to store sensitive and confidential information on these devices.

Does the Applicant use any vendors for Managed Security, Cloud, Back- up, Website hosting, Internet Service, Business Software, Data Processing or Payment/Point-of-Sale Providers?


Have you sustained any network intrusion, corruption, breach or loss of data in past 3 years?
Are you aware of any circumstance or incident that could be reasonably anticipated to give rise to a claim against the type of insurance being requested on this Cyber Security Application?

Data Protection By accepting this insurance you consent to DUAL Commercial using the information we may hold about you for the purpose of providing insurance and handling claims, if any, and to process sensitive personal data about you where this is necessary (for example health information or criminal convictions). This may mean we have to give some details to third parties involved in providing insurance cover. These may include insurance carriers, third party claims adjusters, fraud detection and prevention services, reinsurance companies and insurance regulatory authorities. Where such sensitive personal information relates to anyone other than you, you must obtain the explicit consent of the person to whom the information relates both to the disclosure of such information to us and its use by us as set out above. The information provided will be treated in confidence and in compliance with relevant Data Protection legislation. You have the right to apply for a copy of your information (for which we may charge a small fee) and to have any inaccuracies corrected. IMPORTANT Cybersecurity Policy Statement of Fact By accepting this insurance you confirm that the facts contained in the supplemental application form are true. These statements, and all information you or anyone on your behalf provided before we agree to insure you, are incorporated into and form the basis of your policy. If anything in these statements is not correct, we will be entitled to treat this insurance as if it had never existed. You should keep this Statement of Fact and a copy of the completed proposal form for your records. This application must be signed by the applicant. Signing this form does not bind the company to complete the insurance. With reference to risks being applied for in the United States, please note that in certain states, any person who knowingly and with intent to defraud any insurance company or other person submits an application for insurance containing any false information, or conceals the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime. The undersigned is an authorized principal, partner, director, risk manager, or employee of the applicant and certifies that reasonable inquiry has been made to obtain the answers herein which are true, correct and complete to the best of his/her knowledge and belief. Such reasonable inquiry includes all necessary inquiries to fellow principals, partners, directors, risk managers, or employees to enable you to answer the questions accurately.