Home \ Firm Renewal Questions Firm Renewal Questions Firm Renewal Questions Step 1 of 3 33% HiddenBrokerage License 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License Number Firm Renewal Questions1.) Have there been any changes in ownership (including acquisition, share purchase, asset purchase, and amalgamation transactions), not previously reported to RIBO?(Required)Please select applicable response (Yes or No)YesNoPlease confirm type of change(Required)Multiple Acquisitions / Share PurchaseAsset PurchaseAmalgamationPlease provide detailsPlease add supporting documentationMax. file size: 256 MB.2.) During the last year, has there been any change to the insurance markets you represent that you have not previously reported to RIBO, including cancellations and/or suspensions?(Required)Please select applicable response (Yes or No)YesNoPlease confirm the the type of insurance market change (select one):(Required) New Cancel Suspend Other Please provide detailsPlease add supporting documentationMax. file size: 256 MB.3.) Do you sell Auto Insurance?(Required)Please select applicable response (Yes or No)YesNo3a) Please indicate the number of standard auto insurance markets you represent. (Please note that the insurers must be licensed in Ontario by the Financial Services Regulatory Authority of Ontario.)(Required)Please select the applicable responseOneTwo to ThreeFour to TenMore than Ten3b) Does your brokerage have a contract with the facility association?(Required)Please select applicable response (Yes or No)YesNo4.) Have you placed business with an unlicensed insurer since the last renewal?(Required)Please select the applicable response (Yes or No)YesNoPlease confirm the tyoe of risk that was placed(Required) Cyber D&O Property Other (please specify) Select AllPlease provide additional details concerning the type of risk that was placed.5.) Does an insurance company, bank, credit union, or other publicly traded or privately owned company have any direct or indirect ownership (includes ownership by holding company) in your firm?(Required)Please select the applicable response (Yes or No)YesNoPlease select type of entity(Required)insurance companybank or credit unionpublicly traded companyprivately owned companyOtherPlease provide additional details6.) Are there any ongoing legal proceedings, or regulatory proceedings (involving other regulators), against the firm or any officer or director of the firm in any Canadian province or territory or anywhere in the world that has not been previously reported to RIBO?(Required)Please select applicable response (Yes or No)YesNoSelect type of proceeding civil criminal regulatory proposal for bankruptcy bankruptcy other Select AllPlease provide additional detailsPlease provide documentationMax. file size: 256 MB.7.) Were any court orders, judgements in civil or criminal or bankruptcy proceedings made against the firm or any officer or director of the firm in any Canadian province or territory or anywhere in the world that has not been previously reported to RIBO?(Required)Please select applicable response (Yes or No)YesNoPlease select type of proceeding criminal regulatory proposal for bankruptcy bankruptcy other Select AllPlease provide additional detailsPlease provide documentationMax. file size: 256 MB. Survey Questions for Industry1.) What markets do you represent? (Do not include sub-broker arrangements. Select all that apply or if you represent more than ten markets, select your top 10 markets.)(Required) Intact Insurance Company Economical Insurance (Definity Insurance Company) Aviva Insurance Company of Canada Travelers (Dominion of Canada General Insurance) Wawanesa Mutual Insurance Company (The) Aviva General Insurance Company Northbridge General Insurance Corporation Unifund Assurance Company CAA Insurance Company Pembridge Insurance Company Echelon Insurance Gore Mutual Insurance Company Mutuals: Please list Traders General Insurance Company Primmum Insurance Company Chubb Insurance Company of Canada Scottish & York Insurance Co. Limited Commonwell Mutual Insurance Group (The) Jevco Insurance Company Hagerty Canada Pafco Coachman Royal & SunAlliance Other (Please type in the name of the market(s) below.) Select AllSpecify Market name(s)(Required)2.) Is more than 60% of the brokerage’s total premium volume placed with a single market?(Required)Please select applicable response (Yes or No)YesNo3.) Does your firm have a cyber security policy in place? A cyber security policy should identify what data needs to be secured, what threats and risks the firm faces, what safeguards are in place, and what to do in the case of an incident?(Required)Please select applicable response (Yes or No)YesNo4.) Have staff received cyber security awareness training?(Required)Please select applicable response (Yes or No)YesNo5.) Has the firm purchased or is considering purchasing a cyber insurance policy?(Required)Please select applicable response (Yes or No)YesNoPlease provide us with additional information that might help RIBO identify barriers that exist for your firm to obtain cyber cover? Select one or more reasons from the list below:(Required) Too expensive Lack of available markets Too difficult to meet minimum underwriting requirements Not a RIBO requirement Do not need cyber insurance Other, Select AllPlease specify(Required)6.) Are you a cover holder for an insurer?(Required)Please select applicable response (Yes or No)YesNo7.) Do you act as a wholesaler or Managing General Agent (MGA)?(Required)Please select applicable responseWholesalerMGABoth MGA and WholesalerI do not act as a wholesaler or MGA Notice of AccuracyBy entering my name below and clicking the submit button, I am attesting to the fact that my responses to all questions have been answered truthfully and fully to the best of my ability. I acknowledge that false representation of information may result in an investigation which may lead to disciplinary action including the potential suspension or revocation and fines of up to $100,000.(Required) I Agree Your Full Legal Name(Required)
