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Applications

Management Liability

Available coverage parts include Directors and Officers Liability, Employment Practices Liability, Fiduciary Liability, Fidelity and Crime, Kidnap/Ransom and Extortion and Cyber Privacy and Security. Email the completed submission to your Underwriter.

Private Company Portfolio Advantage Applications

Nonprofit Entity Portfolio Advantage Applications

Supplemental Applications

Contact your Underwriter for state-specific supplemental applications.

Stand-Alone Fidelity and Crime

Email submissions to FIDCRIMESUB@hanover.com. Contact your Underwriter for state-specific applications and supplemental applications.

Applications

For stand-alone public company crime business, complete the appropriate New Business or Renewal application available below.  For stand-alone private company crime business, complete the appropriate New Business or Renewal application available in the Private Company Portfolio Advantage Applications section above.

Supplemental Applications

Accountants

Submit the appropriate application(s) by emailing it to aplsub@hanover.com or faxing it to 508-635-1720.

Questionnaires

Architects and Engineers

Submit the appropriate application by emailing it to aenewbiz@hanover.com.

NY

Contact Margaret Teta, Regional Distribution Director, for New York applications.

Allied Healthcare

Email the completed submission requirements to DMESUB@hanover.com.

Durable Medical Equipment

Healthcare Facilities

The applications below are common applications required for all accounts*.

The following applications are facility-specific. Select the appropriate additional application below.

Home Healthcare

Orthotics and Prosthetics

Pharmacies

Business, Professional and Personal Services (MPL)

Submit the appropriate application by emailing it to mplsub@hanover.com.

Supplements

Eldercare

Email the completed submission requirements to ELDRCARESUB@hanover.com.

Lawyers

Submit the application by emailing it to lplsubs@hanover.com.


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