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118 Broadway St. Ste 532, San Antonio, TX 78205
(210) 277-7544
service@lealinsurance.com

About
Personal Coverage
- Auto
- Boat
- Classic Auto
- Condo
- Homeowners
- High Net Worth
- Flood
- Life
- Motorcycle
- Pet Health
- All Personal Lines
Business Coverage
Contact
Blog

Client Services

Exclusive E&O Program for Integra Partners

Leal Insurance Services is proud to offer exclusive Cyber Liability & E&O coverage to Integra Partner Agencies.

- 18 years P&C experience

- Owner & Chingon Risk Advisor at Leal Insurance Services

- Commercial Focused

- Sales & Service Director

Leal Insurance Services - Headshots

Luis Leal, Chingon Risk Advisor & Owner

(210) 277-7544• luis@lealinsurance.com

Click Here To Start Your Quote

team_photo_employees

Coverage Benefits & Details

- E&O Coverage placed with an Admitted, A+ AM Best Rated Carrier

- Preferred pricing for Integra Agent Partners

- Premium financing option through IPFS or Ascend

- Simplified application and Streamlined Process (online application coming soon)

- Coverage included for Life, Health and Accident products

- Optional coverage available for sale of Mutual Funds and Variable products

Cyber Liability Features

First Party Coverages

- Computer & IT Forensics - investigation to determine the who, what, when and how.
  - - Who did it?
  - - What data was compromised?
  - - When it happened?
  - - How the cyberattack happened?

- Notifications - Cost to notify affected parties.

- Crisis Management - Hiring a public relations agency to help manage the public message and help to restore the company's reputation.

- Social Engineering - losses caused by an employee transferring money or other property due to fraudulent instruction when pretending to be an authorized person.

- Cyber Extortion - This could include, ransom payments, hiring security experts to prevent future extortion attempts and negotiation fees.

- Legal Fees & Lost income - Business interruption or fees levied on a business by a governmental agency.

Third Party Coverages

- Transmission of Software Viruses - defense cost and/or damages to the injured party in the event a cyberattack on your business affects your clients or vendors.

- Denial of Service (DoS) Attacks - data recovery, IT forensics, loss of income to the affected party.

- Breach of Personally Identifiable Information (PII) - Notification expenses, defense costs, settlements and judgements to affected parties.

- Breach of contract

- Legal Expenses and industry fines - attorney fees, court cost, settlements, judgements, regulatory fines

Step 1 of 7

14%

Coverage Eligibility

Has the Applicant done ANY of the following within the last 6 years?(Required)

Placed coverage or been involved in any Reinsurance business;

Performed any activities as a Managing General Agent/Program Administrator, or in any similar capacity, for an insurance company;

Performed any claims handling or had any claims settlement authority;

Performed third party administrator duties;

Placed any Medical Malpractice, Energy, Aviation, Animal Husbandry, Contingency, Crop, Long‐Haul Trucking, or Personal Accident insurance coverage; and

Performed any Financial Planning activities which in any given year collectively exceeds 10% of the Applicant’s annual revenue for that given year

NONE OF THE ABOVE

Did you answer ‘Yes’ solely because you place or have placed any Medical Malpractice, Energy, Aviation, Animal Husbandry, Contingency. Crop, Long‐Haul Trucking, or Personal Accident insurance coverage?(Required)

Yes

No

Did you place these coverages through a wholesaler who specializes in these placements?(Required)

Yes

No

Please select ALL of the following procedures you implement in your office:(Required)

Has and/or provides checklists and written protocols to staff as to what is required for placement/renewal of coverage;

Requires that all communication be documented, written instructions obtained, and that the documentation be preserved;

Uses a diary/calendar system to keep track of deadlines and/or significant dates in order to timely follow up with clients;

Has procedures in place for verification of payees, including telephone verification, and email/wire address comparisons;

Provides or requires additional training to its staff in addition to basic licensing requirements; and

Requires written confirmation from their client if placing business with insurers with an AM Best rating of B+ or less.

Applicant Information

Name of Applicant (include all dba’s):(Required)

Business Physical Address:(Required)

Street Address City State ZIP Code

Is your mailing address the same?(Required)

Yes

No

Mailing Address:(Required)

Street Address Address Line 2 City State ZIP Code

Contact Person's Name:(Required)

First Last

Contact Email:(Required)

Contact Phone:(Required)

Agency's Website:(Required)

Date your agency was established:(Required)

Year agency principal became licensed as a P&C agent:(Required)

Estimated gross revenue for the current 12 months:(Required)

For clarity: This is the estimated gross commissions and agency fees you are expecting to receive over the next 12 months, NOT the total written premium your agency is expected to write.

Previous Insurance Information

Do you currently have professional liability insurance in force?(Required)

Yes

No

Name of Current E&O Provider:(Required)

Current Limits on policy:(Required)

Retroactive date listed on policy:(Required)

MM slash DD slash YYYY

The Applicant warrants that the requested Retroactive Date is the date in which the applicant has been continuously insured without interruption. The actual Retroactive Date will always be the first date of continuous and uninterrupted coverage. If the Applicant does not have coverage currently in force, the retroactive date will coincide with the inception date of any policy approved and issued.

Please upload a copy of your current declaration page showing the retroactive date of your policy.

Drop files here or

Max. file size: 5 MB.

If not available at this time, you can email in to commercial@myinsurancegroup.com at a later time.

Do you currently have a Cyber Liability insurance policy in force?(Required)

Yes

No

Cancellation

Have you had any agency contracts cancelled by an insurance carrier for reasons OTHER THAN lack of production?(Required)

Yes

No

Please provide details:(Required)

Has your professional liability insurance ever been declined, cancelled, or non‐renewed?(Required)

Yes

No

Please provide details:(Required)

Claims Experience

Does any owner, director, officer, employee, independent contractor or partner of yours have knowledge or information of any act, error or omission which might reasonably be expected to give rise to a claim?(Required)

Yes

No

Please provide details:(Required)

Have you or any of your owners, directors, officers, employees, independent contractors or partners ever been the subject of a disciplinary action, investigation or complaint as a result of any professional activities?(Required)

Yes

No

Please provide details:(Required)

Have there been any claims, lawsuits, demands, or other forms of threat of legal action against your firm, any owners, directors, officers, employees, independent contractors or partners in the last five years?(Required)

Yes

No

Please provide details:(Required)

Coverage Selection

Choose your Limit of Liability(Required)

Retention Limit:(Required)

Defense costs in additional to each limit of liability subject to an aggregate limit will be included with the policy(Required)

I understand

Deductible shall apply to damages only(Required)

I understand

Applicant acknowledgement

The application information is true and correct to the best of my knowledge. By submitting this request you are authorizing Leal Insurance Services, its affiliates and carrier partners the access to pull the necessary reports (i.e. claims, credit, and loss history) to confirm the data submitted. Submitting your quote request does not constitute a binding confirmation of a new or revised insurance coverage. Leal Insurance Services is committed to respecting your privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you through phone, text and email as needed. You may opt-out of all future communication at any time by making your preferences known to us.(Required)

I attest and agree to the following:

The application information is true and correct to the best of my knowledge.

By submitting this request you are authorizing Leal Insurance Services, its affiliates and carrier partners the access to pull the necessary reports (i.e. claims, credit, and loss history) to confirm the data submitted.

Submitting your quote request does not constitute a binding confirmation of a new or revised insurance coverage.

Leal Insurance Services is committed to respecting your privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you through phone, text and email as needed.

You may opt-out of all future communication at any time by making your preferences known to us.

CAPTCHA

Address: 118 Broadway St. Ste 532, San Antonio, TX, 78205

Email: service@lealinsurance.com

About

Leal Insurance Services, LLC is a 5-Star rated independent insurance agency located in San Antonio. We look forward to assisting you with your insurance.

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