Group Personal Accident Insurance provides payments for various accidents and can help protect employees from financial distress and disaster. Please use the checklist below to indicate the operation in the QBE Pacific Islands region to which you will be submitting your proposal. MARKET.1. YOU must answer all questions giving full and complete answers. 2. It is YOUR duty to provide all information that is requested in the Proposal Form. No. of Employees Basis of Cover. (i) When filling in this Form, please see that all the questions are fully answered. Do you have any other personal accident insurance? If yes, please fill up the fields below. Collection, Use and Disclosure. We collect your personal information (which may include sensitive information) when you are applying for, changing or renewing.