Professional License and Liability Insurance Submissions

Please ensure all documents are current and easily readable prior to submission.

 

Professional Liability Insurance must additionally meet the following requirements:

  • The policy must list the provider’s name as the insured.
    • Individuals who submit a document listing only a business name will be asked to provide an alternate policy that includes their own name as the insured party.
  • The policy must be at least 1 million per claim and 3 million per aggregate.
  • The file should be in a pdf format versus image file.

Email(Required)
Please select the document type(Required)
MM slash DD slash YYYY
Max. file size: 128 MB.