Interested in learning more about the Association sponsored insurance programs? Complete and send this interest form, and more information will be mailed to you right away!
Name
Practice Name
Address
Suite/Apt
City
State
Zip Code
Phone Number
Fax Number
E-mail Address
Contact Name
Professional Liability Program Underwritten by The Chicago Insurance Company
Workers' Compensation Program Underwritten by Republic Indemnity Company of America
Business Owners Package Program Underwritten by Zurich Precision America
Employment Practices Liability Insurance
Medical Programs Individual, or Small Groups
High Deductible Health Plans
Blue Cross - For Individuals and Small Groups of 250
PacAdvantage - Small Groups of 250
Dental Program Underwritten by Delta Dental
Term Life Program Underwritten by Hartford Life Insurance Company
Group Universal Life Program Underwritten by Metropolitan Life Insurance Company
Accidental Death & Dismemberment Program Underwritten by Unum Life Insurance Company of America
Long Term Disability Program
Plan A: Underwritten by Hartford Life Insurance Company Plan B: Underwritten by New York Life Insurance Company
Business Overhead Expense Program Underwritten by Unum Life Insurance Company of America
Long Term Care Program Underwritten by Unum Life Insurance Company of America
Auto & Homeowners Program Underwritten by Liberty Mutual