Forms & Applications

Below are links to specimen policies, applications and supplements categorized by product.

Please direct all submissions here

MPL Solutions

Product Applications

AXIS 101 0906 (01-17) AXIS PRO MPL SOLUTIONS PROFESSIONAL SERVICES LIABILITY APPLICATION
AXIS 101 0906A (01-17) AXIS PRO MPL SOLUTIONS PROFESSIONAL SERVICES LIABILITY APPLICATION no sup
AXIS 101 0907 (01-17) AXIS PRO MPL Solutions Renewal Application
AXIS 101 0934 (01-17) AXIS PRO Association Management Company Supplement (ASAE)
AXIS 101 0935 (01-17) AXIS PRO MPL Liability Renewal Application for Standards and Specification (ASAE)

State-Specific

AXIS 101 0907 (01-17) AXIS PRO MPL Solutions Renewal Application- IDAHO
AXIS 101 0933 (01-17) AXIS PRO MPL Liability Application for Standards and Specification (ASAE) IDAHO
AXIS 101 0935 (01-17) AXIS PRO MPL Liability Renewal Application for Standards and Specification (ASAE) IDAHO

Supplements

AXIS 101 0908 (01-17) AXIS PRO MPL Solutions - Association Management Company Supplement
AXIS 101 0909 (01-17) AXIS PRO MPL Solutions - Claims Adjuster Supplement
AXIS 101 0910 (01-17) AXIS PRO MPL Solutions - Computer Technology Supplement
AXIS 101 0911 (01-17) AXIS PRO MPL Solutions - Educational Seminar Instructor Supplement
AXIS 101 0912 (01-17) AXIS PRO MPL Solutions - Employment Agency-Executive Search Supplement
AXIS 101 0913 (01-17) AXIS PRO MPL Solutions - Freight Forwarders-Customs Brokers Supplement
AXIS 101 0914 (01-17) AXIS PRO MPL Solutions - Graphic Designer Supplement
AXIS 101 0915 (01-17) AXIS PRO MPL Solutions - Interior Design-Decoration Supplement
AXIS 101 0916 (01-17) AXIS PRO MPL Solutions - Management Consulting Supplement
AXIS 101 0917 (01-17) AXIS PRO MPL Solutions - Mid-Term Acquisition, Merger or Newly Created Entity Questionnaire
AXIS 101 0918 (01-17) AXIS PRO MPL Solutions - Mid-Term Change of Name Due to Acquisition or Merger Questionnaire
AXIS 101 0919 (01-17) AXIS PRO MPL Solutions - Mortgage Brokers-Mortgage Bankers Supplement
AXIS 101 0920 (01-17) AXIS PRO MPL Solutions - Network Security Supplement
AXIS 101 0921 (01-17) AXIS PRO MPL Solutions - Notary Public Supplement
AXIS 101 0922 (01-17) AXIS PRO MPL Solutions - Online Internet Related Services Supplement
AXIS 101 0923 (01-17) AXIS PRO MPL Solutions - Premium Finance Company Supplement
AXIS 101 0924 (01-17) AXIS PRO MPL Solutions - Printers Supplement
AXIS 101 0925 (01-17) AXIS PRO MPL Solutions - Public Record Search Supplement
AXIS 101 0926 (01-17) AXIS PRO MPL Solutions - Public Relations-Promotion-Marketing Firms Supplement
AXIS 101 0927 (01-17) AXIS PRO MPL Solutions - Real Estate Operations Supplement
AXIS 101 0928 (01-17) AXIS PRO MPL Solutions - RESPA Questionnaire 
AXIS 101 0930 (01-17) AXIS PRO MPL Solutions - Third Party Administrators-Review Boards Supplement
AXIS 101 0931 (01-17) AXIS PRO MPL Solutions - Travel Agency-Tour Operator Supplement
AXIS 101 0932 (01-17) AXIS PRO MPL Solutions - User Generated Content Supplement
AXIS 101 0934 (01-17) AXIS PRO Association Management Company Supplement (ASAE)
AXIS 101 0936 (01-17) AXIS PRO Subsidiary Organizations Supplement (ASAE)
AXIS 101 0937 (01-17) AXIS PRO Technology Services Supplement (ASAE)
AXIS 101 0938 (01-17) AXIS PRO Affiliate Organization Supplement (ASAE)
AXIS 101 0939 (01-17) AXIS PRO Consulting Services Supplement (ASAE)

Association Programs

American Association of Advertising Agencies (4A) - Product Applications

Admitted

4A Application

New York Free Trade Zone

Advertising Agency Liability Application

Non-Admitted (AK, LA, OK and PR - VT and WY for Defense within Limits coverage)

4A Application

State-Specific

Massachusetts Application Cover Page
4A Application (Florida)

American Association of Advertising Agencies (4A) - Specimen Policies

Admitted

4A Multimedia Liability Policy - Claim Expense Within the Limit
4A Multimedia Liability Policy - Claim Expense Outside the Limit

New York Free Trade Zone

Advertising Agency Liability Policy - Claim Expense Within the Limit
Advertising Agency Liability Policy - Claim Expense Outside the Limit

Non-Admitted (AK, LA, OK and PR - VT and WY for Defense within Limits coverage)

4A Multimedia Liability Policy - Claim Expense Within the Limit
4A Multimedia Liability Policy - Claim Expense Outside the Limit

American Society of Association Executives (ASAE) - Product Applications

Non-Admitted

ASAE Application
ASAE Renewal Application

American Society of Association Executives (ASAE) -Specimen Policies

Non-Admitted

ASAE Insurance Policy

American Society of Association Executives (ASAE) - Supplements

Non-Admitted

Affiliate Organization Supplement
Certification-Accreditation Supplement
Consulting Services Supplement
Subsidiary Organizations Supplement
Technology Services Supplement

National Association of Broadcasters (NAB) - Product Applications

Admitted

NAB Application
NAB Data and Privacy Protection Coverage Application

New York Free Trade Zone

Broadcasters Liability Application
Broadcasters Liability Cyberliability Supplement
Broadcasters Liability Data and Privacy Protection Coverage Application

Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)

NAB Application
NAB Data and Privacy Protection Coverage Application

State-Specific

Massachusetts Application Cover Page
North Carolina Application Cover Page
NAB Application (Florida)
NAB Application (Montana)
NAB Application (New Hampshire)
NAB Data and Privacy Protection Coverage Application (Florida)

National Association of Broadcasters (NAB) - Specimen Policies

Admitted

NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit

New York Free Trade Zone

NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit

Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)

NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit

National Association of Broadcasters (NAB) - Supplements

Admitted

Cyberliability Supplement

New York Free Trade Zone

Cyberliability Supplement

Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)

Cyberliability Supplement

State-Specific

Cyberliability Supplement (Florida)
Cyberliability Supplement (Montana)
Cyberliability Supplement (New Hampshire)

National Association of Television and Program Executives (NATPE) - Product Applications

Admitted

NATPE Acquisition & Development, Distributor, and Film Library Liability Application
NATPE Producer Liability Application

State-Specific

NATPE Acquisition & Development, Distributor, and Film Library Liability Application (New Hampshire)
NATPE Producer Liability Application (New Hampshire)

Healthcare Billing & Management Association (HBMA) - Product Applications

Non-Admitted

HBMA Application
HBMA Renewal Application