Physicians Insurance A Mutual Company - medical professional liability insurance in Washington, Oregon, and Idaho

The premier provider of medical professional liability insurance for physicians,
other medical professionals, clinics, and hospitals in Washington, Oregon, and Idaho.

Other Coverages

Employment Practices Coverage

Business Owners Policy

Stop-Loss

Life, Disability & Long-term Care

Billing Errors & Omissions

Bonds

Medical, Dental & Vision

Request a Premium Indication

Professional Liability

Business Owners Policy - Quote Request

Please complete the form below.

(* indicates a required field)

Contact name:

Phone:

Fax:

E-Mail:

Physician or entity name:

Business type:

Specialty:

How many years in practice?

Mailing address:

City:

State:

Zip code:

Any business losses in the
last 3 years?

Yes
No

Desired deductible:

$500
$1,000
$2,500

Requested effective date:

Present carrier (if any):

BUILDING INFORMATION

Use the buttons below to add more address if you have more then one location you want to receive a quote for:

Building Information Number 1

Location address (if different from mailing address above):
City:
State:
Zip code:

Which Best Describes the Building's Construction?
Wood frame with stucco covering the exterior Brick or other masonry/cinder blocks - wood floors Masonry with cement floors Steel/concrete & glass

Year Built (approximate):
Estimated Office Sq Ft:

Dates of last updates, if building is older than 25 years:
Roof Update:
Electrical Update:

Is the building sprinklered?		Yes No

Do you own the building?		Yes No
If yes, what is the replacement value?

CONTENTS COVERAGE

Replacement cost of permanently installed fixtures (that you own):

Desired coverage limit for your office contents (not permanently installed):

Include furniture, fixtures, owned, rented or leased equipment, betterments and improvements

The definitive choice for managing hospital risk.
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