Six Steps from Policy Check to Reimbursement
Getting your cyber insurer to reimburse a penetration test is not complicated, but it does require following a specific process. Skip a step and you risk having the reimbursement denied. Follow all six steps and the process is straightforward. We help insured clients navigate this process regularly and our reports are formatted specifically for insurance submission.
Step 1: Check Your Policy for Coverage
Before anything else, confirm that your policy covers penetration testing. Search your policy documents for "security assessment," "risk mitigation," "loss prevention" and "pre-breach services." These terms indicate that your policy includes proactive security benefits that may cover penetration testing.
Look for the specific dollar limit assigned to preventive services. Most policies allocate between $2,500 and $15,000 CAD annually. Note any conditions such as vendor qualification requirements, scope limitations or annual testing limits.
If you cannot find clear language about penetration testing coverage, call your broker. Ask them directly: "Does my policy cover penetration testing under any of its preventive services or loss prevention provisions?" Your broker may not have mentioned this benefit, so you need to ask.
Step 2: Get Written Pre-Approval
This is the most critical step and the one most organizations skip. Before scheduling the penetration test, contact your carrier's risk management team or your broker and request pre-approval in writing. Provide the following:
- The scope of the proposed penetration test (external, internal, web application, etc.)
- The name and qualifications of the testing vendor
- The estimated cost of the engagement
- The proposed testing dates
Get the pre-approval in writing, whether that is an email confirmation, a letter from the carrier or a form that the carrier provides for this purpose. Verbal pre-approval is not sufficient. If the carrier later disputes the reimbursement, you need documentation that they approved the test before it was conducted.
Step 3: Use a Qualified Vendor
Most carriers require that the penetration testing vendor hold specific certifications. Common requirements include CISSP, OSCP, CREST or equivalent professional credentials. Some carriers maintain approved vendor lists and require you to choose from that list.
Sherlock Forensics meets the qualification requirements for all major Canadian cyber insurance carriers. Our principal examiner holds CISSP, ISSAP and ISSMP certifications and has 20+ years of experience in digital forensics and penetration testing. When you engage us, the vendor qualification requirement is satisfied automatically.
If your carrier requires an approved vendor, confirm that your chosen vendor is on the list before signing an engagement letter. If the carrier allows any qualified vendor, collect the vendor's certification documentation to include with your reimbursement submission.
Step 4: Get an Insurer-Ready Report
Not all penetration test reports are created equal. Insurers look for specific elements in a pentest report that many testing vendors do not include. An insurer-ready report should contain:
- Executive summary - A non-technical overview suitable for carrier review that summarizes the scope, findings and risk level
- Scope definition - Clear documentation of what was tested, what was excluded and why
- Methodology - Description of the testing approach, tools and standards followed (OWASP, NIST, PTES)
- CVSS ratings - Industry-standard severity ratings for every finding
- Remediation steps - Actionable recommendations for each vulnerability
- Tester credentials - Certification numbers and professional qualifications of the testing team
Our reports are formatted for insurance submission. Every report we deliver includes all six elements because we understand that the report is not just a technical document. It is a reimbursement document and a claims-file document.
Step 5: Submit the Complete Documentation Package
Once the test is complete and the report is delivered, compile your reimbursement submission. A complete package includes:
- The pre-approval confirmation from Step 2
- The penetration test report (executive summary is usually sufficient; full technical report on request)
- The vendor's invoice with a clear description of services rendered
- Proof of vendor qualifications (certification copies)
- The scope of work or engagement letter
- Any remediation documentation showing actions taken on findings
Submit this package to your carrier through the process specified in your pre-approval. Some carriers have online portals for preventive services submissions. Others accept email submissions to the risk management team. Your broker can facilitate the submission if needed.
Step 6: Follow Up Within 30 Days
If you have not received confirmation of reimbursement within 30 days of submission, follow up. Contact your carrier's risk management team or ask your broker to follow up on your behalf. Common reasons for delays include:
- Missing documentation in the submission package
- Questions about the scope of testing relative to the pre-approval
- Processing backlogs at the carrier
- Need for additional vendor qualification documentation
Most carriers process complete reimbursement submissions within 30-60 days. If your submission is denied, ask for the specific reason in writing and address it. Common denial reasons are almost always procedural, such as missing pre-approval or incomplete documentation, rather than substantive.
We Make This Easy
At Sherlock Forensics, we handle insured penetration testing engagements regularly. We know what carriers require, our reports are formatted for insurance submission and we can provide all supporting documentation your carrier needs for reimbursement. If your policy covers penetration testing, we make the process as simple as possible so you can focus on your business while we handle the testing and the paperwork.