GET A QUOTE - INDIVIDUAL PROVIDERS

Being an individual provider doesn’t mean that you can’t access discounts or tap into the “buying power” of groups, facilities and large practices. Let us help you understand your coverage options, assess your liability risks and applicable discounts, compare plans and match you with the best coverage.

3 Ways to Get a Free, No-Obligation, Quote

Call us at (888) 855-8081 and speak directly with one of our brokers
Email us
Fill out the Individual Provider quote form below

Provider Name

First Name

Last Name

Email Address

Primary Phone Number

(###)

###

####

Website

http://

Primary Practice Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Practice Locations

Practice Type

Current Medical Malpractice Insurance Carrier

Current Limits of Liability (per claim / aggregate)

Current Effective Date

Retro-Active Date (if applicable)

Your Specialty

Board Certified

Surgery

Total Number of Claims Made Against You (If Any)

Date Last Claim Against You Was Closed or Settled

Medical Degree

Graduation Date (Month/Year)

Date of Last Formal Training (Month/Year)

Comments

Get a free, no obligation, premium comparison quote from multiple “A” rated carriers through Empire Risk Strategies, LLC today!

In order to receive a firm quote***, you will need to complete the appropriate application and provide the following documentation:

CV (Curriculum Vitae)
Loss runs from insurance carrier(s) going back ten years
Current insurer Declaration page (including current policy retroactive date of coverage)
Medical License
Board certification, if applicable

*** Firm quotes are subject to a review of your completed Individual Provider application, loss history and hospital affiliations, a risk assessment and final underwriting approval ***

Coverage cannot be bound by submitting a request for a quote or an application. Any submissions or payments made through this website do not constitute a binding agreement to your policy or your coverage. Changes or payments to policies are not effective or binding until you or your representative receive official notice from either your insurance agent, your insurance broker or your insurance company.