Home
Renewal Applications
Renewal Applications
Find below medical professional liability insurance renewal 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 RenewalApps@ProAssurance.com . For more information please call 800-282-6242.
Those not currently insured by ProAssurance can find the appropriate forms on our Applications for Prospective Clients page .
Select a State
Show All
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select a Line of Business
Show All
Physicians
Physician Corporations
Physician Supplemental
Paramedical
Allied Healthcare Professionals
Hospitals and Healthcare Systems
Physicians
Alabama
|
5
pages
• 8.5 x 11 in • 309 KB
Arizona
|
5
pages
• 8.5 x 11 in • 320 KB
Arkansas
|
5
pages
• 8.5 x 11 in • 320 KB
Colorado
|
5
pages
• 8.5 x 11 in • 320 KB
Delaware
|
7
pages
• 8.5 x 11 in • 273 KB
Florida
|
5
pages
• 8.5 x 11 in • 427 KB
Georgia
|
5
pages
• 8.5 x 11 in • 320 KB
Idaho
|
5
pages
• 8.5 x 11 in • 320 KB
Illinois
|
7
pages
• 8.5 x 11 in • 273 KB
Indiana
|
5
pages
• 8.5 x 11 in • 193 KB
Iowa
|
7
pages
• 8.5 x 11 in • 273 KB
Kansas
|
5
pages
• 8.5 x 11 in • 320 KB
Kentucky
|
7
pages
• 8.5 x 11 in • 273 KB
Maine
|
5
pages
• 8.5 x 11 in • 193 KB
Maryland
|
5
pages
• 8.5 x 11 in • 193 KB
Michigan
|
7
pages
• 8.5 x 11 in • 273 KB
Missouri
|
5
pages
• 8.5 x 11 in • 179 KB
Montana
|
5
pages
• 8.5 x 11 in • 193 KB
Nebraska
|
7
pages
• 8.5 x 11 in • 273 KB
Nevada
|
5
pages
• 8.5 x 11 in • 324 KB
New York
|
6
pages
• 8.5 x 11 in • 179 KB
Ohio
|
5
pages
• 8.5 x 11 in • 193 KB
Oklahoma
|
5
pages
• 8.5 x 11 in • 320 KB
Oregon
|
5
pages
• 8.5 x 11 in • 320 KB
Texas
|
5
pages
• 8.5 x 11 in • 290 KB
Utah
|
5
pages
• 8.5 x 11 in • 193 KB
Vermont
|
5
pages
• 8.5 x 11 in • 193 KB
Virginia
|
5
pages
• 8.5 x 11 in • 276 KB
Wyoming
|
5
pages
• 8.5 x 11 in • 320 KB
Physician Corporations
Alabama
|
4
pages
• 8.5 x 11 in • 199 KB
Arizona
|
4
pages
• 8.5 x 11 in • 179 KB
Arkansas
|
4
pages
• 8.5 x 11 in • 179 KB
Colorado
|
4
pages
• 8.5 x 11 in • 179 KB
Delaware
|
4
pages
• 8.5 x 11 in • 155 KB
Florida
|
4
pages
• 8.5 x 11 in • 227 KB
Georgia
|
4
pages
• 8.5 x 11 in • 179 KB
Idaho
|
4
pages
• 8.5 x 11 in • 179 KB
Illinois
|
4
pages
• 8.5 x 11 in • 155 KB
Indiana
|
4
pages
• 8.5 x 11 in • 146 KB
Iowa
|
4
pages
• 8.5 x 11 in • 155 KB
Kansas
|
4
pages
• 8.5 x 11 in • 179 KB
Kentucky
|
4
pages
• 8.5 x 11 in • 155 KB
Maine
|
4
pages
• 8.5 x 11 in • 146 KB
Maryland
|
4
pages
• 8.5 x 11 in • 146 KB
Michigan
|
4
pages
• 8.5 x 11 in • 155 KB
Missouri
|
4
pages
• 8.5 x 11 in • 146 KB
Montana
|
4
pages
• 8.5 x 11 in • 146 KB
Nebraska
|
4
pages
• 8.5 x 11 in • 155 KB
Nevada
|
4
pages
• 8.5 x 11 in • 160 KB
New York
|
5
pages
• 8.5 x 11 in • 233 KB
Ohio
|
4
pages
• 8.5 x 11 in • 146 KB
Oklahoma
|
4
pages
• 8.5 x 11 in • 179 KB
Oregon
|
4
pages
• 8.5 x 11 in • 179 KB
Texas
|
4
pages
• 8.5 x 11 in • 160 KB
Utah
|
4
pages
• 8.5 x 11 in • 146 KB
Vermont
|
4
pages
• 8.5 x 11 in • 146 KB
Virginia
|
4
pages
• 8.5 x 11 in • 160 KB
Wyoming
|
4
pages
• 8.5 x 11 in • 179 KB
Physician Supplemental
Paramedical
Alabama
|
5
pages
• 8.5 x 11 in • 228 KB
Arizona
|
5
pages
• 8.5 x 11 in • 262 KB
Arkansas
|
5
pages
• 8.5 x 11 in • 262 KB
Colorado
|
5
pages
• 8.5 x 11 in • 262 KB
Delaware
|
5
pages
• 8.5 x 11 in • 230 KB
Florida
|
5
pages
• 8.5 x 11 in • 2174 KB
Georgia
|
5
pages
• 8.5 x 11 in • 262 KB
Idaho
|
5
pages
• 8.5 x 11 in • 262 KB
Illinois
|
5
pages
• 8.5 x 11 in • 230 KB
Indiana
|
5
pages
• 8.5 x 11 in • 176 KB
Iowa
|
5
pages
• 8.5 x 11 in • 230 KB
Kansas
|
5
pages
• 8.5 x 11 in • 262 KB
Kentucky
|
5
pages
• 8.5 x 11 in • 230 KB
Maine
|
5
pages
• 8.5 x 11 in • 176 KB
Maryland
|
5
pages
• 8.5 x 11 in • 176 KB
Michigan
|
5
pages
• 8.5 x 11 in • 230 KB
Missouri
|
5
pages
• 8.5 x 11 in • 176 KB
Montana
|
5
pages
• 8.5 x 11 in • 176 KB
Nebraska
|
5
pages
• 8.5 x 11 in • 230 KB
Nevada
|
5
pages
• 8.5 x 11 in • 228 KB
New York
|
6
pages
• 8.5 x 11 in • 266 KB
Ohio
|
5
pages
• 8.5 x 11 in • 176 KB
Oklahoma
|
5
pages
• 8.5 x 11 in • 262 KB
Oregon
|
5
pages
• 8.5 x 11 in • 262 KB
Texas
|
5
pages
• 8.5 x 11 in • 232 KB
Utah
|
5
pages
• 8.5 x 11 in • 176 KB
Vermont
|
5
pages
• 8.5 x 11 in • 176 KB
Virginia
|
5
pages
• 8.5 x 11 in • 232 KB
Wyoming
|
5
pages
• 8.5 x 11 in • 262 KB
Allied Healthcare Professionals
Illinois
|
4
pages
• 8.5 x 11 in • 105 KB
Michigan
|
4
pages
• 8.5 x 11 in • 105 KB
Hospitals and Healthcare Systems