opdu -Indication for opdu Membership

Indication for OPDU Membership

To receive an indication of the cost of becoming an OPDU member please complete ALL fields and press 'Send'.

Sponsoring Employer: Name(s):

Address:

Telephone:

Fax:

Scheme Details: Name(s) of Employee Pension Scheme:

Scheme Assets (market value):

Do you currently purchase: Pension Trustee Liability (PTL) Insurance: Yes No

Directors & Officers (D&O) Liability Insurance: Yes No

If 'yes' please advise

PTL Renewal Date:

Name of PTL Broker:

D&O Renewal Date:

Name of D&O Broker:

Limit of cover required: £1m £3m £5m £10m Or other limit

Litigation Costs Extension This cover can fund the legal costs and expenses incurred in seeking a declaration or direction from the courts.
Please tick for a separate quotation

Applicant Details: Name:

Title:

Telephone:

Email


	About this form: Completion of this form in no way binds the proposer to purchase insurance, nor does it bind insurers to offer insurance. Any information given will only be passed to insurers for the purpose of obtaining terms and will be treated as confidential. On receipt of the above we will contact you with an indication, specimen policy and proposal form. In certain cases further information may be necessary before an indication of cost can be given.