Contact us

An application for E&O coverage by our program must be submitted through an insurance broker who carries a surplus lines license for your state. He/she will advise you about our coverages vs.other coverages that may be available. To get you started, we will send you a package of information and instructions on how to proceed. Please fill out the form below and hit the "submit" button.

We cannot take application or information requests from the following states at this time: AK, MA, OK, RI, VA, WA, please contact a broker.

If you are an insurance broker with a surplus lines license, please contact us at or 800-691-1515.

Professional Designations (check all that apply):
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Coverage availability varies by state. Please refer to policy forms for coverage terms and conditions.

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