Addiction
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement-Free
- Extended Reporting Period Endorsement Form
- BA Addiction Counseling Endorsement
- Supplement to Application
- Increase Defense Reimbursement
- Psychologist Exclusion
Allied Health
Clergy
- Surcharge Information (KY,WV.NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Part Time Discount Worksheet
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-FREE
- Extended Reporting Period Endorsement Form
- Clergy & Pastoral Questionnaire
- Increase Defense Reimbursement
Educational Consultant
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-FREE
- Extended Reporting Period Endorsement Form
- Increase Defense Reimbursement
Hypnotist
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Hypnotherapist Questionnaire
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-FREE
- Extended Reporting Period Endorsement Form
- Hypnotherapist Qualification Organization
- BA Hypnotherapist Endorsement
- Increase Defense Reimbursement
Mental Health/
Marriage & Family Therapist
- Surcharge Information (KY, NJ, WV)
- Increase Limits of Liability
- Part-Time Discount Worksheet
- Additional Insureds Request
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-Free
- Extended Reporting Period Endorsement Form
- Increase Defense Reimbursement
- Frequently Asked Questions
- Psychologist Exclusion
Neurologist
- Surcharge Information (KY, WV, NJ)
- Addendum to Application
- Claim Activity
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement (Disability, Retirement or Death)
- Extended Reporting Period Endorsement-Paid
- Extended Reporting Period Endorsement-Free
- Increase Limits of Liability
- Increase Defense Reimbursement New York Only
- Increase Defense Reimbursement Limits except New York
- New Jersey Consent
- New York Consent
- Quarterly Billing
- Occurrence vs Claims-made
Peer Recovery Support Specialist
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement-Free
- Extended Reporting Period Endorsement Form
- BA Addiction Counseling Endorsement
- Supplement to Application
- Increase Defense Reimbursement
Psychiatrist
- Surcharge Information (KY, WV, NJ)
- Addendum to Application
- Claim Activity Form
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement (Disability, Retirement or Death)
- Extended Reporting Period Endorsement Form – FREE
- Extended Reporting Period Endorsement Form-PAID
- Increase Limits of Liability (Except NY)
- Increase Limits of Liability (NY)
- Increase Defense Reimbursement Limit (Except NY)
- Increase Defense Reimbursement Limit (NY)
- New Jersey Consent form
- New York Consent form
- Quarterly Billing Request Form
- Occurrence vs Claims-made
- Kansas Health Care Provider Claim
Psychiatric Nurse Practitioner
- Surcharge Information (KY, WV, NJ)
- Addendum to Application
- Claim Activity
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement (Disability, Retirement or Death) FREE
- Extended Reporting Period Endorsement Form – FREE
- Extended Reporting Period Endorsement
- Increase Defense Reimbursement Limits except NY
- Increase Defense Reimbursement (NY ONLY)
- Increase Limits of Liability except NY
- Increase Limits of Liability (ONLY NY)
- New Jersey Consent Form
- New York Consent form
- Quarterly Billing
- Occurrence vs Claims-made
Psychoanalyst
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Psychologist Exclusion
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-FREE
- Extended Reporting Period Endorsement Form
- Increase Defense Reimbursement
Psychologist
- Surcharge Information (KY, WV, NJ)
- Increase Limits of Liability
- Additional Insureds Request
- Adding a New Employee
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form – FREE
- Extended Reporting Period Endorsement Form
- Quarterly Billing Form
- Increase Defense Reimbursement
- Louisiana Patient’s Compensation Fund Application
- Notice of an Investigation Information
- Claim Activity Form
- Frequently Asked Questions
School Psychologist
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Part Time Worksheet
- Additional Insured Request
- Psychologist Exclusion
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form – FREE
- Extended Reporting Period Endorsement Form
- Increase Defense Reimbursement
- Notice of Investigation Information
Schools
- Surcharge Information
- Increase Limits of Liability
- Additional Insured Request (Not for an Individual student policy)
Social Worker
- Increase Limits of Liability
- Additional Insureds Request
- State Surcharge Information
- Psychology Exclusion Endorsement
- Part-time Worksheet
- Privacy Policy
- Defense Increase Form
- Free Tail Endorsement
- Purchase Tail Endorsement
- Extended Reporting Period Endorsement Refusal Form
Social Service Agency
- Increase the Limits of Liability
- Additional Insureds Request
- State Surcharge Information (KY, NJ, WV)
- Question #5 Addendum for Renewal Application
- Minnesota Insurance Guaranty
- Privacy Policy
- Guidelines
- New Business Application Addendum
Spiritual Care
- Surcharge Information (KY,WV,NJ)
- Increase Limits of Liability
- Part Time Discount Worksheet
- Additional Insureds Request
- Extended Reporting Period Endorsement Refusal Form
- Extended Reporting Period Endorsement Form-FREE
- Extended Reporting Period Endorsement Form
- Increase Defense Reimbursement
Student
