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Chubb Group Personal Excess Liability Policy Enrollment

For any questions about this enrollment form, please contact our Group Personal Excess Team, Monday through Friday, 8am-5pm PST: groupexcess@tpgrp.com or 1 (503) 601-6877. For eligibility questions, please contact PHR Shared Services: 1-877-608-0044 or PHRSharedServices@kp.org.

HIPAA

Compliance

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    Enrollments/Changes/Cancellations will be processed Quarterly. Submission Date Effective Date March 21 – June 20, 2025 July 1, 2025 June 21 – September 20, 2025 October 1, 2025 September 21 – Dec 20, 2025 January 1, 2026 Dec 21, 20245– March 20, 2026 April 1, 2026 To be eligible for coverage, you must be actively employed by SCPMG as of the effective date of coverage.
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    Excess coverage above your current homeowners and auto liability limits. Premiums below reflect annual premiums. Premium will be pro-rated to your policy term.
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    Please select a limit equal or less than Group Personal Excess Liability Limit chosen previously. Uninsured/Underinsured liability coverage protects you if you are involved in an accident and the person that caused the accident either does not have any insurance, or does not have enough liability insurance, to pay for you or your passenger injuries. Premium noted is in addition to the Group Personal Excess Liability Limit. Premiums below reflect annual premiums. Premium will be pro-rated to your policy term.
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    This covers employment-related discrimination, sexual harassment, and wrongful termination for five or fewer residence employees working 15 hours or more per week. Premium noted is in addition to the Group Personal Excess Liability Limit. Premiums below reflect annual premiums. Premium will be pro-rated to your policy term.
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    Based on the coverage limits selected previously, your annual premium has been calculated below. The below annual premium is for the coverage period between 7/1/2025 to 7/1/2026. Premiums below reflect annual premiums. Premium will be pro-rated to your policy term.
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    IF YOU EXPERIENCE AN ISSUE ACCESSING THIS PLATFORM, YOU MAY HAVE SUCCESS USING YOUR PERSONAL DEVICE. OUR TEAM STANDS READY TO HELP IF YOU NEED ADDITIONAL ASSISTANCE. PLEASE CALL US AT 503-601-6877.
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     If you need help finding your NUID number, please contact PHR Shared Services at 1-877-608-0044 or PHRSharedServices@kp.org 
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     If you need help finding your SCPMG ID number, please contact PHR Shared Services at 1-877-608-0044 or PHRSharedServices@kp.org 
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    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    The information provided herein is for general information only and does not reflect all of the terms, conditions or exclusions of the policy being offered.  The insurance afforded by this enrollment form will be subject to all terms, conditions and exclusions provided under the Chubb Group Personal Excess Liability Insurance policy.    
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