Swiss Re/Westport E&O Program Enrollment

For agencies that have been in business for more than three years.


To apply for coverage,

  • Download and complete the application and applicable supplements
  • Sign and date each application (note: must be signed by an owner, officer, or partner)
  • Attach five-year loss runs, if applicable
  • E-mail completed information to Joan Schim; fax to 850.893.8002; or mail to FAIA Member Services, Attn: Joan Schim, PO Box 16579, Tallahassee, FL 32317

A confirmation will be sent once the application is received.

Application and Supplemental Information (pdf)

Application for Agents Professional Liability
Additional Entity Supplement, if applicable
Claim Supplement, if applicable
Name/Ownership Change Supplement, if applicable
Acquisitions & Mergers Questionnaire, if applicable
Life & Health Supplement, if applicable (Use this supplement if your agency has life and/or health revenues of $500,000 or greater, if you are a life and/or health only agency, or if your agency has life and/or health revenues greater than P&C revenues.)

Rough Notes Magazine E&O Story (pdf)
Swiss Re E&O Checklist (pdf)
Beazley Data Breach App (pdf)
Beazley Brochure (pdf)