What’s covered?
Professional Liability insurance is also known as Errors & Omissions or E&O insurance. The policy is designed to protect an insured person or organization from the financial loss they incur when sued by a third party(ies) due to alleged negligence or malfeasance in the rendering of a professional service or the omission of such a service.

Who needs it?
Even though professionals always try to do their best for their clients, mistakes do happen. If you hold a license or give someone a professional advice, most likely you will need a Professional Liability Insurance

Optional Coverage
You may want to purchase General Liability or Business Owner’s Policy covering your business and your property against claims that may arise from accidents (as when someone trips and falls on your business’s property) or when you sell a product that damages the customer’s property or you are accused of offenses such as slander, copyright or invasion of privacy

Additional Information for Submission
In order to provide you with the right coverage we will need the resumes of all the business principals, detailed description of the business and possibly a copy of a contract between your company and your clients

Professional Liability Questionnaire
Medical and Non-Medical

Applicant’s Information

First Name: Last Name: Street/PO Box: City: State: Zip: Telephone: Email: Fax: Best way to Reach: --- Select item --- Home Phone Business Phone Email Website:

General Business Information

Business Name: Business Entity: --- Select item --- Individual Partnership Corporation Join Venture Subchapter S-Corp Not for profit org LLC Street: City: State: Zip: Phone: Years in business: New business: Yes No Tax Id: Number of Employees including Principals? Is the Applicant controlled by, owned by, or commonly owned, affiliated or associated with any other organization? Describe all professional services performed for others Estimated Annual Gross Revenue? Do you utilize the services of independent contractors or sub-contractors? Explain

Previous Insurance History

Current Insurance: Yes No If yes: Insurance Company Premium paid last year: I had claims: Yes No Number of Additional insured: I need coverage: --- Select item --- ASAP Next Week Next Month I am shopping