Application for Legal Insure Services Canada Legal Expense Insurance

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NOTICE & INSTRUCTIONS AND KEY CONTACT INFORMATION

NOTICE & INSTRUCTIONS

By completing this application you are applying for Omega General Insurance Company (“Omega”) legal expense insurance through its managing general agent Legal Insurance Services Canada Inc. (“LISC”). Please check your information carefully and notify your broker of any errors, changes in the future, or if you have any questions. If a legal expense insurance policy (“Policy”) is issued, this application will be attached to and form part of the Policy. It is necessary that all questions be answered in detail and that all material facts or facts likely to influence the Underwriter’s acceptance or assessment of this application be disclosed. Failing to answer or incorrectly answering any question could invalidate any Policy underwritten for this risk. You acknowledge that the details in this application are in summary form and, if approved, your coverage will be governed by your issued Policy. Completion of this form does not bind the requested legal expense insurance coverage.

APPLICANT LAW FIRM - KEY CONTACT INFORMATION

Principal Lawyer Contact Information



A confirmation email will be sent to this email.

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LEGAL EXPENSE INSURANCE - POLICY SELECTION

Did you know...

LISC Firm Protect

COVERAGE FOR FILE INVENTORIES. THE EASIEST AND MOST COST EFFECTIVE WAY TO ENSURE ALL OF YOUR CLIENTS ARE PROTECTED.

Bespoke legal expense insurance solutions for file inventories in one policy. Featuring fully flexible terms, exclusive features and the most favourable pricing for LISC Legal Expense Insurance.

HOW IT WORKS

·         Lawyer/Law Firm decides the appropriate "base" coverage amount: from $15,000 to $300,000 per file.

·         Lawyer/Law Firm decides when the coverage is triggered: from retainer, pleadings or later.

·         Additional coverage above the base coverage amount is automatically available for specific files any time before pre-trial (or regional equivalent), and thereafter subject to file review.

·         Coverage is retroactive for active files upon sign up and new files are automatically covered from the chosen trigger point.

EASY ADMINISTRATION

·         One Firm Protect policy covers all files.

·         No direct contracts/signatures with plaintiff clients.

·         No interim reporting obligations.

 

We encourage you to consider LISC Firm Protect to provide firmwide protection. To select LISC Firm Protect, simply change your selection above.

To continue with a LISC File Protect application, proceed to the Next Page by clicking the button below.

LISC FIRM PROTECT APPLICANT LAW FIRM INFORMATION

APPLICANT LAW FIRM - LAW FIRM INFORMATION
Format: M5H2L3

KEY PARTNER AND LAWYER DETAILS FOR LISC FIRM PROTECT APPLICATION

In the section below, please enter the details of each lawyer in the practice:

KEY PARTNER AND LAWYER DETAILS




APPLICANT LAW FIRM - SANCTIONS

LAWYER(S) SANCTIONED:






APPLICANT LAW FIRM - PRACTICE OVERVIEW




Percentage of Practice Current File Inventory post issuance of SOC or NOCC Approximate number of settlements/verdicts per year
Personal Injury
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Medical Malpractice
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Corporate/Commercial
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Employment & Labour
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Wills, Estates & Trusts
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Family
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Healthcare
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Class Actions/Mass Tort
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Franchise
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Immigration
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Real Estate
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Securities
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Tax
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Aboriginal
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year
Other
Between 0 - 100
Estimated number of current active files
Estimated number of files settled every year

PREVIOUS LEGAL EXPENSE INSURANCE EXPERIENCE

PREVIOUS LEGAL EXPENSE INSURANCE EXPERIENCE

PREVIOUS LEGAL EXPENSE INSURANCE PROVIDER






DETAILS OF PREVIOUS CANCELLATION, DECLINE OR RESTRICTED COVERAGE


LISC FIRM PROTECT DETAILS & COVERAGE SELECTIONS

ONTARIO

LISC Firm Protect

LISC FIRM PROTECT - LEGAL EXPENSE INSURANCE COVERAGE AND LIMITS
  • Flexible policy limits are available up to an aggregate file limit of $300,000 for claims arising from personal injury and other claims with approval.
  • Standard Limit Coverage: covers each file listed in your inventory for the Standard Limit specified in the Schedule to the Policy.
  • Standard Limit Premiums: are charged at 1.5% to 2.0% of the Standard Limit per file depending on the program coverage purchased; payable upon the successful outcome of the claimant's claim(s),
  • Supplemental Limit Coverage: is a one-time coverage amount selected by you, not to exceed the Standard Limit, to cover a file as set out in your inventory and appended to the Schedule to the Policy. Coverage may be added automatically to any file, except medmal files if requested by you, in writing, prior to the occurrence or the commencement of the file's Pre-Trial Event. If requested after a file's Pre-Trial Event has occurred or commenced, the request is subject to underwriter's approval.
  • Supplemental Limit Premium: is determined by the file's litigation stage on the date your request for Supplemental Limit coverage is received by us as per the grid below:
  • Supplemental PLUS Coverage: Where the combined amount of the Standard Limit and Supplemental Limit is less than the aggregate file limit of $300,000, you may make an application to us for an increase in the coverage level not to exceed the aggregate file limit, which request is subject to review.
  • Summary Judgment Coverage: Available by endorsement to the Policy for Platinum Coverage Law Firms for losses incurred on summary judgment motions where coverage for 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place.
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Available by endorsement to Platinum Coverage Law Firms only. Premium Waiver Coverage: If the total amount of your client’s settlement or trial award is $20,000 all-inclusive or less, the applicable premium shall be zero OR Discontinued and Abandoned Claims Coverage: covers up to 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage: available by endorsement only to cover Defendant’s Costs without offset for damages awarded in the litigation up to the total coverage available.
  • Allocation of Claim Funds: The allocation of claim funds is entirely at your discretion, but if you wish to have the Policy specify a priority of payment beweeen Defendant's Costs and Own Disbursements please advise LISC accordingly.
Platinum Coverage: Standard Limit Coverage Per File is greater than or equal to $100,000 (Max. $150,000)
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: Covers 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Premium waived if at conclusion of the litigation the final disposition is under $20,000 all inclusive up to a maximum of 5.0% of a law firm's inventory, OR 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage Premium:Premium and availability subject to firm review
Gold Coverage: Standard Limit (SL) Coverage Per File is between $50,000 and under $100,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
Silver Coverage: Standard Limit (SL) Coverage Per File is under $50,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
ALBERTA & BRITISH COLUMBIA

LISC Firm Protect

LISC FIRM PROTECTTM - LEGAL EXPENSE INSURANCE COVERAGE AND LIMITS
  • Flexible policy limits are available up to an aggregate file limit of $300,000 for claims arising from personal injury and other claims with approval.
  • Standard Limit Coverage: covers each file listed in your inventory for the Standard Limit specified in the Schedule to the Policy.
  • Standard Limit Premiums: are charged at 1.5% to 2.0% of the Standard Limit per file depending on the program coverage purchased; payable upon the successful outcome of the claimant's claim(s),
  • Supplemental Limit Coverage: is a one-time coverage amount selected by you, not to exceed the Standard Limit, to cover a file as set out in your inventory and appended to the Schedule to the Policy. Coverage may be added automatically to any file if requested by you, in writing, prior to the occurrence or the commencement of the file's Pre-Trial Event. If requested after a file's Pre-Trial Event has occurred or commenced, the request is subject to underwriter's approval.
  • Supplemental Limit Premium: is determined by the file's litigation stage on the date your request for Supplemental Limit coverage is received by us as per the grid below:
  • Supplemental PLUS Coverage: Where the combined amount of the Standard Limit and Supplemental Limit is less than the aggregate file limit of $300,000, you may make an application to us for an increase in the coverage level not to exceed the aggregate file limit, which request is subject to review.
  • Summary Judgment Coverage: Available by endorsement to the Policy for Platinum Coverage Law Firms for losses incurred on summary judgment motions where coverage for 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place.
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Available by endorsement to Platinum Coverage Law Firms only. Premium Waiver Coverage: If the total amount of your client’s settlement or trial award is $20,000 all-inclusive or less, the applicable premium shall be zero OR Discontinued and Abandoned Claims Coverage: covers up to 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage: available by endorsement only to cover Defendant’s Costs without offset for damages awarded in the litigation up to the total coverage available.
  • Allocation of Claim Funds: The allocation of claim funds is entirely at your discretion, but if you wish to have the Policy specify a priority of payment beweeen Defendant's Costs and Own Disbursements please advise LISC accordingly.
Platinum Coverage: Standard Limit Coverage Per File is greater than or equal to $50,000 (Max. $150,000)
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: Covers 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Premium waived if at conclusion of the litigation the final disposition is under $20,000 all inclusive up to a maximum of 5.0% of a law firm's inventory, OR 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage Premium:Premium and availability subject to firm review
Gold Coverage: Standard Limit (SL) Coverage Per File is between $25,000 and under $50,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
Silver Coverage: Standard Limit (SL) Coverage Per File is under $25,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
MARITIME PROVINCES

LISC Firm Protect

LISC FIRM PROTECTTM - LEGAL EXPENSE INSURANCE COVERAGE AND LIMITS
  • Flexible policy limits are available up to an aggregate file limit of $300,000 for claims arising from personal injury and other claims with approval.
  • Standard Limit Coverage: covers each file listed in your inventory for the Standard Limit specified in the Schedule to the Policy.
  • Standard Limit Premiums: are charged at 1.5% to 2.0% of the Standard Limit per file depending on the program coverage purchased; payable upon the successful outcome of the claimant's claim(s),
  • Supplemental Limit Coverage: is a one-time coverage amount selected by you, not to exceed the Standard Limit, to cover a file as set out in your inventory and appended to the Schedule to the Policy. Coverage may be added automatically to any file if requested by you, in writing, prior to the occurrence or the commencement of the file's Pre-Trial Event. If requested after a file's Pre-Trial Event has occurred or commenced, the request is subject to underwriter's approval.
  • Supplemental Limit Premium: is determined by the file's litigation stage on the date your request for Supplemental Limit coverage is received by us as per the grid below:
  • Supplemental PLUS Coverage: Where the combined amount of the Standard Limit and Supplemental Limit is less than the aggregate file limit of $300,000, you may make an application to us for an increase in the coverage level not to exceed the aggregate file limit, which request is subject to review.
  • Summary Judgment Coverage: Available by endorsement to the Policy for Platinum Coverage Law Firms for losses incurred on summary judgment motions where coverage for 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place.
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Available by endorsement to Platinum Coverage Law Firms only. Premium Waiver Coverage: If the total amount of your client’s settlement or trial award is $20,000 all-inclusive or less, the applicable premium shall be zero OR Discontinued and Abandoned Claims Coverage: covers up to 50% of Defendant’s Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage: available by endorsement only to cover Defendant’s Costs without offset for damages awarded in the litigation up to the total coverage available.
  • Allocation of Claim Funds: The allocation of claim funds is entirely at your discretion, but if you wish to have the Policy specify a priority of payment beweeen Defendant's Costs and Own Disbursements please advise LISC accordingly.
Platinum Coverage: Standard Limit Coverage Per File is greater than or equal to $25,000 (Max. $100,000)
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: Covers 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: Premium waived if at conclusion of the litigation the final disposition is under $20,000 all inclusive up to a maximum of 5.0% of a law firm's inventory, OR 50% of Defendant's Costs and 50% of Own Disbursements combined up to 50% of the total coverage in place at the time a file is discontinued or abandoned.
  • First Pay Coverage Premium:Premium and availability subject to firm review
Gold Coverage: Standard Limit (SL) Coverage Per File is between $15,000 and under $25,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
Silver Coverage: Standard Limit (SL) Coverage Per File is under $15,000
  • Supplemental Limit Coverage Per File: Up to Standard Limit Amount
  • Supplemental PLUS Coverage: On request, where Standard Limit + Supplemental Limit do not exceed $300,000
  • Summary Judgment Coverage: N/A
  • Premium Waiver Coverage OR Discontinued and Abandoned Claims Coverage: N/A
  • First Pay Coverage Premium: Premium and availability subject to firm review
LISC FIRM PROTECT - Select your coverage program:















PRIVACY & CONFIDENTIALITY, FULL DISCLOSURE AND APPLICATION SUBMISSION

NOTICE - PRIVACY AND CONFIDENTIALITY

“Personal Information” as defined in the Personal Information Protection and Electronic Documents Act, S.C. 2000, C.5 (“PIPEDA”), is collected, used, and retained by LISC pursuant to PIPEDA, to evaluate and consider your eligibility for legal expense insurance and for the purposes of sharing with LISC’s affiliated partners, which are listed at legalinsurecanada.ca/partners/, where you or your clients have products with LISC’s affiliated partners. The Personal Information is strictly private and confidential and will not be disclosed without your express written consent or where required by law to do so.

 

LISC is committed to protecting Personal Information and using or disclosing it only for the purposes for which it is collected. When you apply for insurance, consumer and previous insurance reports containing law firm, credit, factual, investigative or previous claim and loss information about your law firm may be sought in connection with these matters. By submitting your application, you, on behalf of your law firm, consent to LISC collecting, using or disclosing Personal Information collected in connection with this application, as described above. If you wish to withdraw your consent you must notify LISC immediately in writing.

 

For more information about how LISC uses and protects your personal information, please refer to LISC’s privacy statement at www.legalinsurecanada.ca/. You may request to review and make corrections to the personal information in LISC’s file by writing to Legal Insurance Services Canada Inc. Attention: Privacy Officer, 202-488 Wellington St. W. M5V1E3 or call 1-833-283-7399.

LISC FIRM PROTECT APPLICATION SUBMISSION

Click "Submit" to REVIEW and submit the application. You will be able to view/print your entire submission and make any changes before you officially submit.  Once, submitted, you will receive an email to confirm your application and formalize its submission. 

 

Thank you for completing your LISC Firm Protect Application. We sincerely appreciate your time.

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