Fair Credit Reporting Act Notice
Personal information about you, including information from a credit or other investigative report, may be collected from persons other than you in connection with this application for insurance and subsequent amendments and renewals. Such information as well as other personal and privileged information collected by us or our agents may in certain circumstances be disclosed to third parties without your authorization. Credit scoring information may be used to help determine either your eligibility for insurance or the premium you will be charged. We may use a third party in connection with the development of your score. You may have the right to review your personal information in our files and request correction of any inaccuracies. You may also have the right to request in writing that we consider extraordinary life circumstances in connection with the development of your credit score. These rights may be limited in some states. Please contact your agent or broker to learn how these rights may apply in your state or for instructions on how to submit a request to us for a more detailed description of your rights and our practices regarding personal information.
Electronic Record and Signature Agreement
Your insurer may be required to provide you, your organization, or your representatives certain notices, disclosures, documents, policies, and/or related materials (collectively: “Insurance Documents”) as part of an actual or proposed insurance transaction; and, further, may need to obtain signed copies of Insurance Documents from you in order to facilitate an actual or proposed insurance transaction, confirm your receipt of such materials, or facilitate the servicing of insurance products purchased. Accordingly, by clicking the “Purchase” button, you agree to receive Insurance Documents electronically and provide electronic signatures in lieu of physical signatures (collectively: “Conduct Business Electronically”), where such electronic business functionality is made available by your insurer or its designated service provider(s), and to do so upon such terms and conditions as are outlined below or as may be amended by your insurer and/or its service provider(s) from time to time.
If you wish to reject the option to Conduct Business Electronically, please contact the administrator of this program at (855)-940-4525 so that your insurance transaction may be completed manually.
Obtaining Paper Copies
You or your authorized representative may request paper copies of any and all Insurance Documents provided or made available to you electronically by your insurer. Your insurer hereby agrees to provide such paper copies, free of charge, and to arrange for delivery via the US Postal Service or a nationally established private carrier service, with such materials to be posted to the mailing address associated with your account. Requests for paper copies of Insurance Documents must include the relevant insured name, address, policy number, and effective dates and be signed by an insured or their authorized representative.
Withdrawing your Consent
You may elect to withdraw your consent to Conduct Business Electronically at any time and without penalty, provided that such withdrawal is made in writing and includes the relevant insured name, address, policy number, and policy effective date and is signed by you or your authorized representative. Your insurer will process all properly filed withdrawals in a timely manner; but reserves the right to continue to conduct business electronically during the pendency of such withdrawal of consent, as Insurance Documents and related signatures may be time sensitive and circumstances may not allow for manual exchange of hard-copy documents.
Electronic Delivery and Signature Vendors
Your insurer may utilize the services of third-party service providers to facilitate electronic delivery of Insurance Documents and/or provide for electronic signature of such materials. Accordingly, your agreement to Conduct Business Electronically is also contingent upon your agreement to such further terms and conditions, including any hardware and software requirements, as may be required of your insurer’s various service providers. Furthermore, you expressly acknowledge and agree that any action or failure to act on the part of such service provider(s) shall not give rise to any cause of action, suit, claim for damages, or similar proceedings against your insurer.
Electronic Contact Information
In order to Conduct Business Electronically, you will be required to provide your insurer and its service providers with your e-mail address and, in doing so, agree that neither your insurer nor its service providers have any obligation to provide for the ongoing validation of such e-mail address. Accordingly, you are responsible for advising your insurer and its service providers of any changes to your e-mail address by utilizing the process outlined by such service provider.
Document Access, Retention, or Content Errors
During the course of Conducting Business Electronically, you will receive electronic copies of documents, some of which may require your electronic signature, and all of which should be maintained in printed or electronic form for your records. By accessing the mobile app/website and following the links provided, you are affirming that you understand and have access to a device that meets the hardware and software requirements necessary for receiving notices, statements, policies, and disclosures. You will have the option to download a complete copy of your policy information and other transaction information in an Adobe Acrobat PDF File. To download and view your documents using the Adobe Acrobat PDF File, Adobe Acrobat Reader must be installed. Adobe Acrobat Reader is available for free download from www.adobe.com. Your policy, endorsements, and certificates are accessible and retained thru Thimble’s mobile app/website while your login is active. Your insurer and/or your agent agrees to provide a notice to you in the event of any changes regarding hardware or software requirements necessary to receive policies, endorsements, etc. and disclosures electronically. Upon receiving such documents, or during your review thereof, instances may arise in which you are unable to access, save, or print copies of such documents. Similarly, you may identify errors in the content of such documents, which require correction. Should any of these circumstances arise, please contact your insurer.
Please use one of the following methods if you need assistance:
Mailing Address: Employers Holding Group
c/o Verifly Insurance Services, Inc. dba Thimble Insurance Services
174 West 4th Street, Suite 204
New York, NY 10014
By clicking the “Purchase” button, you expressly acknowledge and agree that you have read this Electronic Record and Signature Agreement and the terms and conditions contained herein; and that you were able to print on paper or electronically save and subsequently access the Electronic Record and Signature Agreement document and any associated materials incorporated herein by reference.