2017-2018 Fiduciary Liability Insurance Application.pdf

This is a Fiduciary Liability Insurance Application document for the State of Kentucky. The application requests comprehensive fiduciary liability insurance coverage for the state's employee benefit plans and related fiduciary exposures. The document outlines the insurance requirements necessary to protect the state against claims arising from fiduciary duties, breaches of trust, and related liabilities associated with the administration of employee retirement and benefit programs. The application includes detailed questionnaires regarding the state's current insurance practices, risk management procedures, claims history, and organizational structure to enable underwriters to assess coverage needs and establish appropriate policy terms.

The application requires detailed financial and operational information from Kentucky to determine premium pricing and coverage limits. Key sections address the state's current insurance arrangements, any prior claims or losses, the number of plan participants and beneficiaries, asset values under management, and the qualifications of personnel responsible for plan administration. The document serves as the foundation for underwriters to evaluate risk exposure and establish fiduciary liability insurance terms specific to Kentucky's employee benefit plan operations, ensuring adequate protection against potential fiduciary liability claims while establishing appropriate premium structures based on the state's demonstrated risk profile and administrative controls.