Direct Benefits Inc Errors & Omissions Program

dbi
Contact: Tom Mayer
http://www.directbenefits.com

This plan is designed exclusively for agents of Direct Benefits Inc and helps to protect against claims arising from the sale and servicing of insurance products.

Program Highlights

  • Coverage available for life, accident and health, disability income activities as well as mutual funds, variable products, universal life, annuities and section 125, employee benefit plans, managed health care organizations
  • Provides coverage for your administrative, clerical and support personnel while they are acting on your behalf
  • Provides coverage for any affiliated corporation, partnership or agency for their liability arising out of the individual insured's professional services

Rate CalculatorCalculate Your E&O Premium

Coverage Limits:

$1M/$1M
$1M/$2M

Effective Date:
January 1
February 1
March 1
April 1
May 1
June 1
July 1
August 1
September 1
October 1
November 1
December 1

Base Coverage Includes: Life, Accident, Health

Additional Coverages:

Add coverage for the sale and servicing of Disability Products?
YES NO

Add coverage for the sale and servicing of 24 hour coverage in applicable states?
YES NO

Add coverage for the sale and servicing of Annuities? (fixed and indexed only)
YES NO

Add coverage for the sale and servicing of Variable Products and Mutual Funds? (includes fixed and indexed annuities)
YES NO

E&O Liability Coverage Options:

  • $1,000,000 per claim / $1,000,000 annual aggregate
  • $1,000,000 per claim / $2,000,000 annual aggregate

 Deductibles:

  • $500 for life, accident, health, LTC, Medicare Advantage and Medicare Supplement
  • $2,500 for disability insurance and indexed & fixed annuities
  • $5,000 for all other claims (eg. variable annuities and mutual funds)

Payment Options

  • Pay in full or choose monthly payments via credit card or electronic funds transfer (EFT)

Program Eligibility

  • You must be actively affiliated with Direct Benefits Inc at the time you submit a claim under this policy in order to be eligible for full benefits
  • If you are no longer affiliated with Direct Benefits Inc during the policy period, coverage for any new business activities ceases immediately as of your termination date. You will be covered under a one year Automatic Extended Reporting Period beginning on the date of termination and terminating twelve months thereafter. The Extended Reporting Period applies to Wrongful Acts (I) committed after your Prior Acts date (II) committed before your termination date (III) solely relating to Life & Annuity Masters Insurance Marketing products, all subject to the terms of the policy
  • Coverage under this program is offered on a claims made basis. The policy will only cover claims first made against the Insured and reported to the Corporation during the policy period. The agent must not have had knowledge of the claim or circumstances likely to result in a claim at the effective date of coverage.
  • This policy applies to an act, error or omission which takes place anywhere in the world, provided that the claim is made and suit is brought against the Insured in the United States of America.
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You Should Know...

As an insurance sales agent, your E&O insurance coverage could be your most important investment. Protecting yourself from the expense of a potential lawsuit or legal action is critical.

 

MGA Insurance Services is the plan administrator and has been providing access to outstanding Errors and Omissions insurance programs since 1989. This plan is secured by an outstanding insurance company. CNA is rated A (Excellent) by AM Best.

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Click here to RENEW

Top five reasons insurance agents trust their E&O Insurance to MGA:

 

5. Coverage flexibility
Why pay additional for coverage on products you don't write? With this policy, you have the flexibility to choose the coverages that are right for you.

 

4. Backed by A rated carrier
This policy is secured by CNA Insurance Company: an outstanding insurance company rated A (Excellent) by AM Best.

 

3. Monthly payment options
Pay in full or choose monthly payments via credit card or electronic funds transfer (EFT).

 

2. Quick & easy enrollment
No long paper applications. Online enrollment takes just minutes!

 

1. Incredibly affordable!
This policy offers coverage at the most competitive rates available.

 

Your E&O Exposure

Make the simple statement to a client, "I will make sure that your claim is paid immediately", binding the insurance carrier even though the claim may be denied for any number of legal reasons.

 

Instead of calling policy owner service, your client calls you to change his address. Mistakenly, you forget to forward this request to the home office. Four months later, your client files a claim only to find out that his policy has been canceled for non-payment.

 

While filling out an application for coverage, your client asks if a minor medical condition warrants being mentioned. You inform the client that it should not be an issue and the client does not include the information on the application. Nine months later benefits are denied because of misrepresentation by the client on the application.

 

In all of the above examples you could be held liable for client damages costing you thousands of dollars in legal fees and settlement costs.

 

Top Causes of Loss

  • Misrepresentation of coverage under health policy
  • Waiting period for STD benefits Availability of coverage for pre-existing condition
  • Discrepancies in application process for life and health policies
  • Guaranteed Coverage (client allegedly led to believe that coverage guaranteed if application process completed)
  • Delay in application process (claim made before coverage bound)
  • Alleged coverage sold through self-funded program or MEWA (not covered by policy)
  • Misrepresentation of benefits or policy provisions on a disability income policy