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Contact Us
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Insurance
Medical Professional Liability Insurance
Workers' Compensation Services
Custom Solutions
Lloyd's Managing Agency
Coverys Syndicate 1975
Services
Risk Management
Business Analytics
Education
Claims
About Us
COVID-19 Resource Center
Annual Reports
Companies & Divisions
Leadership & Governance
Financial Strength
Careers
Coverys Strategic Healthcare Alliance
Media Room
Coverys Community Healthcare Foundation
Find an Agent
Request a Quote
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Request A Quote
Name:
Specialty:
Phone:
Email:
Coverage Requested:
Select One
Modified claims-made
Claims-made
Occurrence
Retroactive date:
Limits:
Select One
$100K/$300K
$200K/$600K
$1M/$3M*
Other
Requested effective date:
Number of hours worked per week in office and hospital:
Select One
20 or less
21-30
31 or more
Please list any physicians in your practice that are insured through Coverys:
Claims in the past 10 years?:
Select One
Yes
No
If yes, how many?:
Total of the settlement amounts: