Cyber Risks Quote – Medical and General Risk Solutions

Name of entity

ABN*

Practice address*

State Postcode

Describe the business

When did/will the practice commence trading?

Estimated gross revenue for the next 12 months?

Please provide details if you use a third party to host any data or business applications

E.g. cloud hosting of patient medical records

Do you have a Business Continuity Plan in place, which is tested annually, and confirms you can be back up and running within 24hrs?

Yes
No

Do you have antivirus software installed on your network and PC's and are firewalls in place and are these are regularly updated (at least quarterly)?

Yes
No

Are all mobile devices (such as laptops, tablets, smartphones and memory sticks) password protected?

Yes
No

Do you currently have cyber cover?

Yes
No

Insurer Name

Due Date

Total annual premium

Have you ever had a cyber claim, or had an incident occur which would have been covered by a cyber policy?*

No
Yes

Number of claims

Total paid by insurer

Describe the claim/s

Your preferred name

Mobile number*

Email address*

Preferred contact method*

Mobile
Email

Preferred time to contact

: HH

MM