If you are a broker/agent in search of professional liability coverage for a client, DefensePro can provide a pricing indication based on a completed New Business Application or from a copy of another carrier's application, providing it has a current signature and date.

If you would like to submit another carrier's application, please be sure it contains the following information:

	The firm's areas of practice
	Claim history including current loss and expense reserves and payments for the last 5 years (a loss run from the carrier is strongly recommended)
	Systems and procedures
	A copy of the applicants letterhead

Electronic transmission of application information is welcomed and may be submitted to submissions@defenseproliability.com. You may also fax the information to 913-652-7599 or mail to the address shown below.

Click here for additional binding information.

Insurance Program Administered by Lockton Risk Services
P.O. Box 410679 / Kansas City, MO 64141-0679 / 800.250.7876 / info@defenseproliability.com