Professional Liability Insurance Quote - United Insurance Group

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Professional Info

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Services

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Risk Profile

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Coverage

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Contact

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Review

Professional Liability Insurance Quote

Also known as Errors & Omissions (E&O) Insurance - Protect against professional mistakes and negligence claims

Important: Professional Liability Coverage

Professional liability insurance protects against claims of professional errors, omissions, negligence, and failure to deliver promised services. This is different from general liability which covers bodily injury and property damage.

Professional Information

Business/Professional Name *

Business Structure *

Year Practice/Business Started *

Primary Profession/Industry *

Detailed Description of Professional Services *

Professional Credentials

Professional Licenses/Certifications

Primary License Number

License State

Years of Professional Experience *

Professional Associations/Memberships

Business Operations

Annual Gross Revenue *

Number of Professionals *

Total Employees (including support staff)

Approximate Number of Clients/Year

Largest Client/Project Value

Average Project/Client Value

Service Details & Risk Factors

Types of Services Provided (Check all that apply)

Professional Advice/Consultation

Design/Planning Services

Implementation/Execution

Project Management

Client Representation

Financial Services

Medical/Health Services

Technology Services

Client Types (Check all that apply)

Individuals/Consumers

Small Businesses

Large Corporations

Government Entities

Non-Profits

Healthcare Organizations

Do you use written contracts/engagement letters? *

Always

Usually

Sometimes

Rarely/Never

Do contracts include limitation of liability clauses?

Yes

No

Sometimes

Coverage Requirements

Per Claim Limit *

Aggregate Limit *

Deductible *

Retroactive Date Required?

Additional Coverage Features Needed

Defense Costs Outside Limits

Cyber Liability Coverage

Employment Practices Liability

Media Liability

Disciplinary Proceedings Coverage

Lost Documents Coverage

Claims & Risk History

Any professional liability claims in the past 5 years? *

No

Yes

Any disciplinary actions or license issues? *

No

Yes

Any pending lawsuits or known circumstances that could lead to a claim? *

No

Yes

Have you ever been denied professional liability coverage? *

No

Yes

Contact Information

Contact Name *

Title/Position *

Email Address *

Phone Number *

Current E&O Carrier (if any)

Current Policy Expiration

Additional Information