What organisation is providing the funding for your personal assistant?

Integrated Care Board (ICB)

Local Authority

Please select an Integrated Care Board from the list below

Please select a Local Authority from the list below

When do you need cover to start?

How many Personal Assistants will be working for you?

How many Personal Assistants work concurrently with each other?

How many contracted hours do your employees work per month?

What is the total current wage roll for all employees before tax/deductions?

To qualify for this price and cover, you:

do not have any current or pending convictions excluding minor motoring convictions;
have not made any claims or had any claims made against you in your capacity as employer of a Personal Assistant/Carer;
have not been subject to an Employment Tribunal in relation to the dismissal of a Personal Assistant/Carer;
have not been refused Personal Assistant/Carer Employment Insurance;
are eligible for and receive funding to employ a Personal Assistant/Carer;
have a designated care plan which has been approved by your funding authority;
are permanently resident in the UK, Channel Islands or Isle of Man.
confirm your personal assistant/carer is not working on behalf of an agency and you have a direct contract of employment in place with the personal assistant/carer.

I confirm that I do comply with all of the above statements.

Policyholder Title

Policyholder First Name

Policyholder Last Name

Policyholder Date of Birth

Policyholder Email Address

Policyholder Telephone Number

Policyholder Postcode

Policyholder Address

Are you acting as a legal guardian or have power of attorney of the person receiving care?

Yes No

Details of the person receiving the care or support

Title

First Name

Last Name

Date of Birth

Email Address

Telephone Number

Is the care receivers address the same as the policyholders?

Yes No

Postcode

Address

Would you like to add a supporter to your account?

Yes No

Title

First Name

Last Name

Date of Birth

Email Address

Telephone Number

Is the supporter address the same as the policyholders?

Yes No

Postcode

Address

Would you like to include Employment Legal Defence Cover in your policy?

Yes No

Cover	Limits
Employers Liability Cover	Limit of Indeminity - £10,000,000
Public Liability Cover	Limit of Indeminity - £5,000,000
Temporary Personal Assistant Costs Cover	£250 per claim. Maximum £750 per policy year
Redundancy Costs Cover	£2,000 per employee Maximum £4,000 per policy year
Legal Defence Cover	Limit of Indemnity - £100,000

To find out more information about this cover
please review the documents provided below

Insurance Product Information Document (IPID) - Core Covers
Insurance Product Information Document (IPID) - Legal Defence Cover

If you have any questions or require assistance please contact us on 01653 919200.

You now have two choices. You can save this quote and come back to it later, or buy this policy. Press the continue button to do either.

Based on the information that you have provided we are unable to provide you with an instant quote. Press 'Continue' below to provide your details and we will contact you.

Based on the information that you have provided, your quote is:

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This quote includes Insurance Premium Tax (IPT).
The policy period will run for 12 months.

Cover	Limits
Employers Liability Cover	Limit of Indeminity - £10,000,000
Public Liability Cover	Limit of Indeminity - £5,000,000
Temporary Personal Assistant Costs Cover	£250 per claim. Maximum £750 per policy year
Redundancy Costs Cover	£2,000 per employee Maximum £4,000 per policy year
Legal Defence Cover	Limit of Indemnity - £100,000

To find out more information about this cover
please review the documents provided below

Insurance Product Information Document (IPID) - Core Covers
Insurance Product Information Document (IPID) - Legal Defence Cover

If you have any questions or require assistance please contact us on 01653 919200.

You now have two choices. You can save this quote and come back to it later, or buy this policy. Press the continue button to do either.

Your Quote

Complete the information below for a quick indication of how much your insurance is likely to cost.

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