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  • DE
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    IT
    • Cyber Übersicht
    Request an offer now

    Helvetia Cyber Insurance. Application form.

    In order to create a tailor-made offer for you, we need some information. Please take a moment to complete the form.
    Company details
    Enter your company.
    Enter your street name.
    Enter your street number.
    Enter your ZIP.
    Enter your city.
    Are there other co-insured companies that use the same IT system?
    Please choose.
    Enter the company name.
    Are there other co-insured companies with which you have a written management contract or in which you hold at least a 50% stake?
    Please choose.
    Enter the company name.
    Note

    The questions always apply to all insured companies together.
    What is the annual turnover in CHF? An additional risk questionnaire must be completed for turnover of CHF 100 million or more. You will receive this by e-mail as soon as you have submitted the form.
    Please choose.
    Enter the exact annual turnover in CHF.
    What is the impact on business operations if the IT system fails?
    Please choose.
    Do you generate sales through e-commerce (online trading)?
    Please choose.
    What annual share of turnover do you generate with it?
    Please choose.
    Please enter the number of employees.
    Do you have customers abroad or do you collect data from website visitors from abroad?
    Please choose.
    Where are these customers/website visitors located?
    Please choose.
    Describe your main activity in a few words.
    Do you have your own production facility?
    Please choose.
    Are your machines/systems dependent on the IT system?
    Please choose.
    Claims experience
    Have you been affected by cyber incidents in the last five years?
    Bitte wählen.
    Please indicate how many cyber incidents you have been affected by.
    Please describe the incident(s).
    Please enter the amount in CHF.
    Please describe the measures.
    Has cyber insurance or insurance with similar content been rejected or terminated in the last three years?
    Please choose.
    Please state the reason.
    Improvements to your IT security
    Please explain the changes.
    Please explain the changes.
    Details of cyber insurance

    Select one of the three packages. You can find detailed information about the services here.
    Please choose.
    Would you like a combined or a separate sum insured for personal and liability claims?
    Please choose.
    Note

    You can choose the sum insured for personal and liability claims; it may amount to a cumulative maximum of CHF 5 million. For legal protection, a sum insured of CHF 20,000 always applies.
    Note

    You can choose the sum insured for personal and liability claims; it may amount to a cumulative maximum of CHF 5 million. For legal protection, a sum insured of CHF 20,000 always applies.

    A cumulative maximum compensation limit of CHF 5 million applies.
    What combined sum insured for personal and liability claims would you like? If the sum insured exceeds CHF 500,000, an additional risk questionnaire must be completed. You will receive this by e-mail as soon as you have submitted the form.
    Bitte wählen.
    What separate sum insured for policyholder losses would you like? If the sum insured exceeds CHF 500,000, an additional risk questionnaire must be completed. You will receive this by e-mail as soon as you have submitted the form.
    Please choose.
    What separate sum insured for liability claims would you like? If the sum insured exceeds CHF 500,000, an additional risk questionnaire must be completed. You will receive this by e-mail as soon as you have submitted the form.
    Please choose.
    What deductible would you like? The minimum deductible is CHF 1,000. A minimum deductible of 1% of the sum insured applies if a sum insured for policyholder losses of more than CHF 500,000 (separately or combined) is selected. The legal protection is always subject to a deductible of CHF 0.
    Please choose.
    Which variable options of the package would you like?
    Please choose.
    Please choose.
    Please choose.
    Do you want to protect against losses due to faulty production?
    Please choose.
    Please choose.
    Please enter the start date of the contract.
    Please choose.
    Contact person details
    Enter your first name.
    Enter your last name.
    Enter your e-mail address.
    Enter your phone number.
    Bitte geben Sie Ihre Bemerkungen an.
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