We are required by law to provide certain disclosures to You before You enter into this transaction electronically. In addition, We need Your consent to enter into this transaction before We can deliver certain documents to You electronically. Please read this notice carefully before giving consent.
This Disclosures and Consent to Conduct Business Electronically ("Disclosure") applies to all Communications for those Policies, Contracts and services offered by Us.
The words "We," "Us," and "Our" refer to to the excess and surplus insurer, and all of its subsidiaries, affiliates and agents, that has issued Your insurance coverage, or has provided evidence of insurance coverage to You. This company operates under the trademark, "Assurant Specialty Property."
The words "You" and "Your" mean You, the individual(s) or entity that owns the Contract.
"Communications" means all information that We are required to provide to You by law, or as reasonably necessary to administer Your Contract, which includes, but is not limited to, Your online enrollment or application, declarations page, Policy, certificate, terms and conditions, responses to claims, transaction history, privacy policies, periodic billing statements, amendments, services, notices and disclosures about changes in the terms of Your Contract.
"Contract" means a Policy/certificate, Extended Service Contract, or any other product or service requested by You and provided by Us.
"Policy" means a written contract of insurance, or written agreement effecting insurance, or the certificate thereof, and includes all clauses, riders or endorsements, and declarations page.
You agree that We may provide You with any Communication in electronic format (the "Paperless Transaction"), and that We may discontinue sending paper Communications to You, unless and until You withdraw Your consent as described below or at Our option upon notification by Us to You. You further acknowledge that We may authorize an agent to deliver certain Communications to You on Our behalf, and perform other services to help facilitate the delivery of Communications to You.
All Communications that We provide to You in electronic form will be provided by one or more of the following methods: (i) via e-mail; (ii) by access to a secure website that We will generally designate in advance for such purpose; (iii) via text message or mobile message service; or (iv) to the extent permissible by law. With respect to text message and mobile messaging service communications, your carrier may charge you a fee for receiving the message.
You may withdraw Your consent to receive Communications that We provide to You in electronic form by calling Us at 1-866-438-2768; writing to Us at 1177 Harrison Street, San Francisco, CA 94103; or submitting a support ticket. At Our option, We may treat Your provision of an invalid e-mail address, or the subsequent malfunction of a previously valid e-mail address, as a withdrawal of Your consent to receive electronic Communications. We will not impose any fee to process the withdrawal of Your consent to receive electronic Communications; however, Your access and Use of the Online Service may be terminated. Any withdrawal of Your consent to receive electronic Communications will be effective only after We have a reasonable period of time to process Your withdrawal. Termination of Your consent to conduct business electronically shall not affect legal enforceability of any Contract provided to You.
It is Your responsibility to provide Us with a true, accurate and complete e-mail address, contact, and other information related to this Disclosure and Your Contract, and to maintain and update promptly any changes in this information. You can update Your information by calling Us at 1-866-438-2768; writing to Us at 1177 Harrison Street, San Francisco, CA 94103; or by submitting a support ticket. Please do not send confidential information to Us via traditional e-mail, as we cannot guarantee that the transmission will be secure.
In order to access, view and retain electronic Communications from Us, You must have:
When You consent to receive Communications electronically, You should not expect to receive a paper copy of any Communication, unless You request it or We otherwise deem it appropriate to do so. You can obtain a paper copy of an electronic Communication by printing it Yourself or by requesting that We mail You a paper copy, provided that such request is made within a reasonable time after We first provided the electronic Communication to You. To request a paper copy, you may do so by calling Us at 1-866-438-2768; writing to Us at 1177 Harrison Street, San Francisco, CA 94103; or by submitting a support ticket. We may charge You a reasonable service fee for a paper copy, of which We will provide You prior notice, for the delivery of paper copies of any Communication provided to You electronically pursuant to this authorization.
All Communications in either electronic or paper format from Us to You will be considered "in writing." You should print or download for Your records a copy of this Disclosure and any other Communication that is important to You or which We instruct You to download and retain.
You acknowledge and agree that Your consent to electronic Communications is being provided in connection with a transaction affecting interstate commerce that is subject to the federal (and State enacted laws similar to) Electronic Signatures in Global and National Commerce Act, and that You and We both intend that the Act apply to the fullest extent possible to validate Our ability to conduct business with You by electronic means.
We reserve the right, in Our sole discretion, to discontinue the provision of Your electronic Communications, or to terminate or change the terms and conditions on which We provide electronic Communication. We will provide You with notice of any such termination or change as required by law.
You must be able to provide Us with an e-mail address for each Contract owner at the time of purchase or during maintenance of the Contract. Only one Contract owner's authorization is required to enroll in the Paperless Transactions program.
For purpose of electronic notification, You will need to designate one of the existing e-mail addresses associated with joint or multiple Contract owners as the e-mail address of record. The e-mail address of record will be the only e-mail address that electronic notification will be sent to when documents are available for viewing. The e-mail address of record must be the e-mail address of a Contract owner or an insured who has authority to make transactions and act on behalf of the Contract owner. For example, You may not designate the e-mail address of a minor or incompetent individual as the e-mail address of record.
The Disclosure and Your relationship with Us under this Disclosure shall be governed by the laws of the State of Georgia without regard to its conflict of laws provision. You and Us agree to submit to the exclusive jurisdiction of the United States District Court for the Northern District of Georgia and the state courts located within Cobb County, Georgia to resolve any legal matter arising from the Disclosure. Notwithstanding this, You agree that We shall be allowed to apply for injunctive remedies (or an equivalent type of urgent legal relief) in any jurisdiction.
If any court of law, having the jurisdiction to decide on this matter, rules that any provision of this Disclosure is invalid, then that provision will be removed from the Disclosure without affecting the rest of the Disclosure. The remaining provisions of the Disclosure will continue to be valid and enforceable.
By consenting to this Disclosure and Consent to Conduct Business Electronically, You agree to the following statements:
I have read, understand and agree to be bound by the terms and conditions described above and consent to receive electronic documents according to the process described above.
I understand and agree that: (i) I am the applicant or owner for the Contract or am validly authorized by the prospective Contract applicant or owner to act on his/her behalf (ii) certain documents will continue to be delivered to me via U.S. Mail that are not included in the Paperless Transactions program and that in the future some or all of these documents may be made available to me as part of the Paperless Transactions program; (iii) my consent to receive documents electronically does not automatically expire and is not limited as to duration; (iv) the entity or entities with which I have my Contract and/or their agents may revoke my participation in the Paperless Transactions program at any time at their discretion; (v) neither entity or entities with which I have my Contract, nor their affiliates, subsidiaries or agents will be liable for any loss, liability, cost, expense, or claim for acting upon this authorization or arising from my use of the services provided pursuant to this Disclosure; and (vi) additional information provided to me in addition to my Contract contain important information or disclosures concerning my Contract and I agree to review such additional information in a timely manner; (vii) If I cannot access my Communications for any reason whatsoever, I must immediately notify the entity or entities with which I have my Contract with so that they can help identify the issue, or arrange to have them delivered via alternative means; and (viii) I have been able to view this Disclosure.
Form # EBC-BC-TPS-091412c