Paychex Cyber Liability Coverage Program

Enrollment Questions

To enroll, please complete the below questionnaire and a representative will be happy contact you.

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Is your business annual revenue greater than $10,000,000 and domiciled outside of the United States?*
Yes No

Does your business fall within any of the following ineligible business classes? (1) Banks, (2) Credit Unions, (3) Payment Processors, (4) Gambling Organizations, (5) Online Adult Industry, (6) Social Media/Networking Firms, (7) Cloud Providers (8) Network Providers (9) Managed Security Providers (10) Managed Service Providers (11) Federal and State Government Agencies (12) Municipalities (13) Franchise (14) Cryptocurrency (15) Marijuana/Cannabis (16) Schools and Universities (Public, Private and Charter)*
Yes No

Has your business suffered a cyber-related event, breach, outage, loss, or claim in the past 12 months?*
Yes No

For all fund transfer requests or payments, do you confirm payment instructions via a method other than the original means of the instruction (for example, calling an individual at an independently verified number to confirm an email wire transfer request)?*
Yes No

Does your business implement Multi-Factor Authentication (MFA) for remote access to you network?*
Yes No

Does your business have offsite (e.g. cloud) back-ups that are no less than 1 month old?*
Yes No

Can your business recover critical data & systems within 3 days?*
Yes No

Do you store data or share any information or network with any other firm or are under common ownership with any other member or firm?*
Yes No

Select your annual revenue:

Company Name*

Company Email Address*

Paychex Business ID Number*

Effective Date (MM/DD/YYYY) /{{day}}/

I certify the accuracy of the above information.

Based on the information in your form submission, you are ineligible for enrollment in the program.

This is a brief overview of coverage and is not a legal contract. The actual policy with endorsements should be reviewed for specific terms, conditions, limitations and exclusions that will govern in the event of loss.