Cyber Insurance - A-WIN Insurance

Get a Cyber Insurance Quote

Please read these questions and statements carefully. You must provide us with accurate and complete information. Failure to do so may affect the validity of the policy or whether the policy responds to any claim in full or at all.

Completing this form will allow your broker to get you a full and accurate quote for Cyber Insurance from Boxx Insurance. Once you’ve submitted the form, we will be in touch with your quote.

Boxx Cyber Insurance Quote Request

Company Name*
Your Name*
Email*

Your quote will go to this email.
Company's Address (Street, City, Province and Postal Code)*
Gross Annual Revenue in $CAD*
What percentage of revenue is generated from the USA?*
Industry*
Select Your Coverage Limit*
This is the maximum amount that your policy will cover.
Select Your Cyber Crime & Fraud Sub Limit
This is the maximum amount that your policy will cover for a cybercrime and fraud claim.
Do you want Cyber Deception coverage?
All employees responsible for wire transfer of funds are provided training to detect and prevent fraud, social engineering and similar scams?
Before processing a wire transfer of funds OR changing vendor account details, do you confirm the request by a secondary means of communication?
Select Your Deductible
Have you implemented commercially available firewalls and antivirus software on all computers and updated them at least 30 days?*
Do you regularly backup critical data for on-premises systems at least weekly AND store it off-site OR is critical data stored exclusively with cloud software providers?*
Do you limit access to all sensitive information to only those that need it to perform their function, and do you have a policy in place to ensure access is immediately amended or revoked for joiners, movers, and leavers?
This field is required only for businesses with over $20 million in revenue.
Do you have a process in place to regularly patch all systems and applications at least every 30 days?
This field is required only for businesses with over $20 million in revenue.
Do you change all default passwords on new devices and have a formal password policy that explains good password hygiene for all systems providing access to personal or confidential information?
This field is required only for businesses with over $20 million in revenue.
In the past 5 years have you suffered any loss or had any claim (successful or not) made against you?*
In the past 5 years have you been investigated in respect to personal data (including payment card information or privacy practices)?*
In the past 5 years have you been asked to supply any regulator or similar body with information relating to personally identifiable information or privacy practices?*
In the past 5 years have you received any complaints related to the handling of someone's personally identifiable information?*
In the past 5 years have you received any actual or attempted extortion demand with respect to data or computer system?*
Are you aware of anything that may lead to a claim, loss or other liability that might be covered under this policy?*