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CLASSMATE
PROFESSIONAL LIABILITY
INSURANCE APPLICATION
For Physicians & Surgeons Group Policy Page 1 of 17
Ed.1.01.22APPLICATION INSTRUCTIONS & CHECKLIST
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How to fill out claims-made excess physicians application

How to fill out claims-made excess physicians application
01
Review the claims-made excess physicians application form to familiarize yourself with the information required.
02
Fill out the applicant's information section completely and accurately.
03
Provide details on the type of coverage needed and any previous claims history.
04
Include information on the primary professional liability policy being renewed or replaced.
05
Answer any additional questions or provide any necessary documentation as requested.
06
Review the completed application for accuracy before submitting it to the insurance provider.
Who needs claims-made excess physicians application?
01
Physicians who require additional coverage beyond their primary professional liability insurance.
02
Healthcare providers who want protection against claims that may arise after their primary coverage limits are reached.
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What is claims-made excess physicians application?
The claims-made excess physicians application is a form that allows physicians to apply for additional coverage beyond their primary malpractice insurance.
Who is required to file claims-made excess physicians application?
Physicians who want additional coverage beyond their primary malpractice insurance are required to file claims-made excess physicians application.
How to fill out claims-made excess physicians application?
To fill out the claims-made excess physicians application, physicians need to provide their personal information, details of their primary malpractice insurance, and any additional coverage they are seeking.
What is the purpose of claims-made excess physicians application?
The purpose of the claims-made excess physicians application is to allow physicians to obtain additional coverage to protect themselves against malpractice claims.
What information must be reported on claims-made excess physicians application?
Physicians must report their personal information, details of their primary malpractice insurance, and any additional coverage they are seeking on the claims-made excess physicians application.
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