Applications for Prospective Clients

Find below medical professional liability insurance applications for physicians, paramedical and allied healthcare professionals, and hospitals and facilities. Dental professional liability applications are on the DentistCare website; select the "How to Apply" menu item and then find your state in the drop box. Applications for the Ob-Gyn Risk Alliance (OBRA) are posted to OBRA's website; select the "How to Apply" menu item and then find your state in the drop box. 

Completed applications can be emailed to our Service Center using For more information please call 800-282-6242.

Those seeking renewal applications can find then on the Renewal Applications page.

(If you are having trouble accessing an application, try opening them in a new tab)



Physician Corporations

Physician Supplemental


Allied Healthcare Professionals

Hospitals and Healthcare Systems

Multi-State Organizations