Company Details
Legal name, doing-business-as entries, FEIN, primary address, corporate structure, and contact information for the authorized signer.
A complete Employment Practices Proposal Form reduces underwriting delays, minimizes follow-up requests, and improves quote accuracy. It standardizes information across submissions, helps identify underwriting issues early, and provides a defensible record of representations and disclosures for both employers and insurers.
Several internal and external roles commonly complete or review Employment Practices Proposal Forms depending on whether the submission is for insurance, internal review, or vendor screening.
Align the form’s preparer with the document purpose—for insurance quotes use broker or risk manager; for internal proposals use HR and legal to ensure completeness.
Legal name, doing-business-as entries, FEIN, primary address, corporate structure, and contact information for the authorized signer.
Headcount by full-time, part-time, temporary, and independent contractors plus geographic breakdown and key executive titles.
Detailed history of employment-related claims, reserves, outcomes, and certified loss runs for the requested reporting period.
Summary of hiring, termination, harassment prevention, anti-discrimination, and internal complaint-handling procedures.
Requested limits, deductible layer, retroactive dates, and any endorsements or exclusions sought by the applicant.
Authorized representative statements confirming accuracy, plus signature, title, and date to bind representations.
Optica needed a simple, consistent process for submitting employment-practices information to brokers.
Brian Fitzgibbons, COO, Optica Ventures LLC.
A healthcare provider centralized HR disclosures and claims attachments to support renewal negotiations.
John Butler, Founder, Fertility Centers of Illinois.
Choose a submission channel that preserves attachments, signatures, and audit trails to ensure a verifiable record.
Submit with application to avoid delays
7–14 business days typical review window
Often within 30 days of binder or invoice
Set as requested; insurer may require binding steps
Begin 60–90 days before policy expiration
Verify completeness, contacts, and attachments.
Assess claims, policies, and risk controls.
Carrier issues terms; applicant reviews adjustments.
Finalize signature, accept premium, and issue policy.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
Provide certified loss runs for the requested period showing claims, reserves, payments, and status to support underwriting evaluation.
Attach the current handbook or key policy excerpts covering hiring, discipline, anti-harassment, and complaint procedures.
Submit a leadership and HR reporting structure to clarify supervision and delegated authorities affecting employment decisions.
Include evidence of training programs, investigations, or corrective actions relevant to employment-practices risk.