Quote Information

Applicant Name

State

Commercial Property

Commercial General Liability

Liquor Liability

Commercial Inland Marine

Directors And Officers Liability

Select the Lines of Business to Quote

Medical Providers Liability

Commercial Crime

General Liability

Liquor Liability

Have there been any losses/claims in the past three years?

Classification Selection

Please select from the class list below. If the risk has operations not listed, please select "Other" and the risk will be submitted for Company review.

Class Glossary

Abortion Clinic

Acupuncturist

Anesthesiologist

Chiropractor

Clinic – Urgent Care/Walk-In

Dentist/Endodontist/Orthodontist

Dermatologist

Family/General Practitioner

Home Health Care

Hospital

Internal Medicine/Specialist

Laboratories

Massage Therapy Clinic

Med Spas/Laser Therapy

Medical - Permanent/Temporary Placement/PEO

MRI/Imaging Center

Nutritionist

OB/GYN - Fertility Clinic

Ophthalmologist

Optometrist/Optician

Other

Pediatricians/Pediatric Specialties

Physical/Occupational Therapist

Podiatry

Psychiatrist

Psychologist

Radiologists

Sleep Disorder Center

Substance Abuse / Drug Rehabilitation Center

Surgeon - All Other

Surgeon - Oral/Maxillofacial

Surgeon - Plastic (Cosmetic/Aesthetic)

Surgeon - Plastic (Reconstruction)

Surgery Center - Ambulatory