Business Insurance Coverage Checkup - Kicker Insures Me Agency

"*" indicates required fields

HOW HAS YOUR BUSINESS CHANGED OVER THE PAST YEAR?

As a business owner, you probably wear many hats each day, leaving little time to think about your insurance coverage and how changes in your business over the past year may impact the type and amount of insurance coverage needed to protect it.

It’s a good idea to review your insurance needs annually, so please take a few moments to complete the checklist below. Answering these questions will help to identify whether your existing business insurance coverage is appropriate or if changes are necessary when speaking with a licensed insurance agent.

Once you sign for any changes please continue to review the statements regarding additional coverages to consider.

GENERAL INFORMATION

Has the name of your business changed?

Yes

Have you restructured your company’s ownership (e.g., gone from sole proprietorship to LLC or corporation) or added any DBA’s (doing business as)?

Yes

Has your business changed owners, partners or officers?

Yes

Has the nature of your business operations changed? For example:

Yes

Do you now also service the products you manufacture?

Yes

Have you changed or expanded the types of products you sell or services you offer?

Yes

Have you added new locations, expanded into new states or outside of the United States?

Yes

Have you closed or moved any locations?

Yes

Has the mailing address of your business changed?

Yes

Has the physical location of your business changed or have you expanded or remodeled your office space?

Yes

BUSINESS PROPERTY

Do you own the building your business is located in?

Yes

Have you taken any steps to protect your building? This includes the installation of alarm or security systems, fire suppression systems and/or surveillance equipment.

Yes

Has it been longer than 12 months since you reviewed what it would cost to replace your building?

Yes

Has it been longer than 12 months since you reviewed the amount of insurance provided for your business personal property? Keep in mind that inflation can impact the value of personal property.

Yes

Have you entered into any new purchase or lease agreements for your business property?

Yes

BUSINESS LIABILITY

Has there been any increase/decrease in your company’s payroll or sales?

Yes

Have you entered into any new customer contracts?

Yes

WORKERS’ COMPENSATION

Has there been any increase/decrease in your company’s payroll? This information is necessary because the price you pay for workers’ comp is based, in part, on annual gross payroll.

Yes

In the past 12 months, has your employee headcount increased or decreased?

Yes

Do you have employees who work from home on a regular basis?

Yes

Do you use subcontractors, volunteers or interns?

Yes

Do you or your employees travel to other states or foreign countries?

Yes

BUSINESS AUTOMOBILE

Have you added or eliminated vehicles used in your business operations?

Yes

Has the usage of vehicles covered by your policy changed (e.g., distance they are traveling or what they’re used for)?

Yes

Do you use your personal vehicle for business, allow employees to use your personal vehicle for business or allow employees to use their own personal vehicles for your business?

Yes

Has it been longer than 12 months since you reviewed the limits of liability provided by your policy?

Yes

Has it been longer than 12 months since you reviewed the deductible(s) required by your policy?

Yes

Completed by*

Date*

Signature*

BUT THAT’S NOT ALL

Below are additional coverage options that can help protect your business. Consider each statement and check the ones you’re interested in hearing more about. Then, an insurance professional can assist you in determining which of these options are right for your business.

I WANT TO KNOW MORE ABOUT INSURANCE THAT WILL HELP REPLACE MY LOST BUSINESS INCOME IF:

I need to suspend operations because of an unplanned and unannounced interruption in my cloud service.

Cloud Service Interruption

Yes

I need to suspend operations due to the direct physical loss of power, communication or water services.

Off-Premises Utility Services

Yes

The third party I rely on for a large portion of my business income (e.g., supplier or manufacturer) is unable to provide inventory or products due to a covered property loss at their location.

Dependent Properties

Yes

I use the internet to generate a portion of my income, and my website is vandalized – prohibiting me from generating that income.

Electronic Vandalism

Yes

After resuming operations following a covered loss, I don’t regain the income level that existed prior to the loss.

Extended Business Income

Yes

I WANT TO KNOW MORE ABOUT INSURANCE THAT WILL HELP PROTECT ME IF:

The sensitive personal information (e.g., Social Security number, debit/credit card information, bank account numbers) I collect and/or store, either electronically or on paper, on my employees and/or customers is lost or stolen.

Data Breach

Yes

I’m sued by one of my employees for an employment-related claim, such as discrimination, harassment or wrongful termination.

Employment Practices Liability

Yes

An error or omission is made in the administration of the employee benefits program available to my employees, such as improperly providing information or failing to enroll an employee when they’re eligible.

Employee Benefits Liability

Yes

I suffer a financial loss because an employee steals money, securities or other property owned by my business.

Employee Dishonesty

Yes

The computers, data and software used in my business need to be repaired or replaced due to a computer virus or power failure, for example.

Computers & Media

Yes

I’m sued because one of my employees was in an accident while using their personally-owned vehicle to run an errand for my business such as picking up office supplies, or picking up/ dropping off mail at the post office.

Hired & Non-Owned Auto

Yes

I’m sued and my Business Owner’s Policy doesn’t fully cover the amount I‘m liable to pay.

Umbrella

Yes

COST SAVING OPTIONS

Many of the property coverages offered as optional are also available in cost-effective packages. This approach helps you tailor an insurance program that meets your unique needs while giving you good value for your insurance dollar.