Because there is no veterinary equivalent of HIPAA, practices have spent years without a regulator telling them what cybersecurity to have. That gap didn't stay empty. It was filled — quietly, and without an announcement — by the cyber insurer.
If your practice carries a cyber or business policy with cyber coverage, the renewal questionnaire your broker sends each year is now the de facto security standard you're measured against. And unlike a regulator, the insurer has a very direct way to enforce it: the claim.
Why the Questionnaire Has Teeth
Cyber insurers have absorbed years of expensive ransomware and business-email-compromise losses. Their response has been to tighten underwriting — the questionnaires get longer and stricter every renewal — and to scrutinise claims much more closely.
The crucial point for a practice owner: the questionnaire is a set of attestations. When you tick “yes, we enforce multi-factor authentication” or “yes, we maintain tested backups,” you are making a representation the insurer relies on to price and issue the policy. If a breach later shows those answers weren't true, the insurer can reduce the payout, deny the claim outright, or in some cases treat the policy as void. A practice can be fully insured on paper and effectively uncovered in reality.
What the Questionnaire Actually Asks
Wording varies between insurers, but a veterinary practice will consistently be asked about the same controls:
Multi-factor authentication — is it enforced on email, on the PIMS, and on any remote access? This is the single question insurers care most about, because stolen passwords are how most claims start.
Endpoint protection — do you run modern endpoint detection and response (EDR), not just consumer antivirus, on every device?
Backups— do backups exist, are they tested, and are they kept offline or immutable so ransomware can't encrypt them too?
Staff training — do employees receive security awareness training, and is it ongoing rather than a one-off?
Incident response — do you have a documented plan for what happens when something goes wrong?
Patching and access — are systems kept up to date, and is access limited to what each role needs?
Controls That Let You Honestly Say “Yes”
- Multi-factor authentication on email, the PIMS, and remote access
- Endpoint detection and response (EDR) on every practice device
- Offsite, immutable, tested backups of your PIMS and core data
- Security awareness training for all staff, run on a recurring basis
- A documented, tested incident response plan
- Timely patching and role-based access controls
The Honest-Yes Problem
Most practices don't set out to misrepresent anything. The questionnaire arrives, it's long and technical, the renewal deadline is close, and the owner answers it the way they hope things are rather than the way they've verified them to be. “We have backups” becomes a yes — without anyone checking whether those backups are offline, or whether a restore has ever actually been tested.
That hopeful yes is the trap. The fix isn't to answer more carefully — it's to put the controls genuinely in place so the honest answer is yes. The same controls that satisfy the questionnaire are the ones that prevent the claim in the first place. Tested offline backups, covered in our 3-2-1 backup guide, are the clearest example: they answer a questionnaire line and they're also what gets the practice running again after a PIMS ransomware attack.
The Bottom Line
No law tells a veterinary practice what cybersecurity to have — but the cyber insurer effectively does, and it backs that standard with the one consequence that matters when things go wrong. Treat the renewal questionnaire as the checklist it really is: get the controls in place, verify them, and then the honest answer and the passing answer are the same answer.
For the wider picture of what a practice should have, see our veterinary practice cybersecurity guide— and if you'd like a partner who can stand up those controls for you, see our cybersecurity for veterinary practices.
Use the cyber-insurance prep section of the free Vet Practice checklist.
Six-control insurer-questionnaire prep, plus an 8-control PIMS-ransomware-resistant baseline and a distributor-invoice-fraud verification procedure.
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