Insurance MSA Template

INSURANCE MASTER SERVICES AGREEMENT (MSA)

This Insurance Master Services Agreement ("Agreement") is entered into between Insurer: and Applicant / Insured: . The parties agree that the Applicant accepts the services, coverages and terms set forth below as of Effective Date: .

1. Definitions

For purposes of this Agreement, "Services" means administrative, claims handling, loss control, inspection, consulting and related services described in Section 2; "Covered Risks" means the perils described in Coverage Selections; "Policy" means the insurance policy or policies listed in Section 3 that the Insurer issues to the Applicant.

2. Scope of Services

The Insurer shall provide or arrange Services to the Applicant in accordance with the schedules, fee arrangements and protocols set forth herein. Services may include claims intake, investigation, evaluation, adjustment, subrogation, vendor coordination and reporting. Specific tasks, deliverables and performance standards shall be set forth in applicable Statements of Work incorporated into this MSA.

3. Policy Details

4. Coverage Selections

Select the coverages to be provided under the Policy and administered under this MSA:

5. Exclusions

The following exclusions apply to the coverages and services provided under this Agreement. Absent a specific written amendment executed by Insurer, these exclusions are material and enforceable.

6. Limits of Liability & Subrogation

Insurer's liability under the Policy shall be limited to the coverage amounts stated in Section 3 subject to deductibles and policy limits. The Applicant agrees to cooperate with reasonable subrogation efforts and to execute documents necessary to perfect subrogation rights. Insurer shall have the right to control defense and settlement of covered claims as provided in the Policy and applicable law.

7. Fees, Billing and Payment

8. Claims Handling Protocols

Applicant shall provide timely notice of any claim or potential claim to the Insurer and shall cooperate in good faith with all investigations. Initial notification timeframe:

9. Confidentiality & Data Protection

Each party shall maintain the confidentiality of non-public information received from the other and shall safeguard personal data in compliance with applicable privacy laws. Insurer and Applicant shall limit use and disclosure of claims information to purposes permitted under the Policy, law, or with prior written consent.

10. Term, Amendment and Termination

This Agreement commences on the Effective Date and continues for the Policy Period unless earlier terminated pursuant to this Section. Either party may terminate for material breach upon thirty (30) days' written notice if the breach is not cured. Termination does not affect accrued rights and obligations, including indemnities and confidentiality obligations.

11. Representations, Warranties and Certifications

Applicant represents and warrants that all information provided to Insurer in connection with application for coverage and provision of Services is true, complete and correct to the best of Applicant's knowledge. Applicant certifies that no material facts have been withheld and acknowledges that Insurer relies upon such representations in underwriting and administering the Policy.

12. Indemnification

Applicant shall indemnify, defend and hold harmless Insurer and its affiliates, agents and personnel from and against any third-party claim, loss, liability or expense arising from Applicant's negligent acts, omissions or breach of this Agreement, except to the extent caused by Insurer's gross negligence or willful misconduct.

13. Governing Law and Dispute Resolution

This Agreement shall be governed by the substantive laws of the state specified in the Notices section below, without regard to choice-of-law principles. All disputes arising from or related to this Agreement shall be resolved by binding arbitration unless otherwise agreed in writing, with the prevailing party entitled to recover reasonable attorneys' fees and costs.

14. Notices

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses below by certified mail, courier, or other method providing proof of delivery.

15. Beneficiary Designation

Applicant may designate one or more beneficiaries for certain policy proceeds where permitted by the Policy. Percentages must total 100% for all primary beneficiaries.

16. Miscellaneous Provisions

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations and understandings. No waiver of any breach shall be effective unless in writing and signed by the waiving party. If any provision is held unenforceable, the remainder shall remain in full force and effect.

17. Applicant Certification

By signing below, the Applicant certifies that they have read and understood this Agreement, that all information provided is true and complete, and that they authorize Insurer to perform the Services set forth herein during the Policy Period. Applicant further consents to the collection, use and disclosure of personal information as necessary for underwriting, claims handling and regulatory compliance.

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