The Doctors Insurance Agency - Insurance&Medical Practice Consulting Services

The Doctors Insurance Agency has been partnering with TDC from the beginning, making us experts in the field of Medical Liability Insurance; find out why our doctors love doing business with us! Providing excellent service and expert knowledge in the medical malpractice industry for over 30 years.

*Physician Specialty:

*Zip Code:

*Email:

*Your Name:

Title:

If Other:

Phone:

Contact Preferency:

Best Time To Call :

Address:

Current Retroactive Date:

Current Policy Expiration Date:

Claims Free Discounts? Do you have less than $10,000 in Claims related costs in the last three years and have been in practice at least that long?

Yes

Membership Discounts?

Part Time Practice? (Averaging 20 hrs or less per week)

Yes

Special Policy Limits: Our standard Claims Made Coverage is $1million per incident / $3 million annual. Please quote the following limit amouts as well:

Special Coverage Needs Not Already Listed? (i.e. facilities, ancillaries, entities... etc.) Please detail here:

Do you need any other Business/Personal Insurance?

Would you like a quote for your group? Yes

Please call me for more information

Please send me a preliminary quote on the following -group chart

Our agents are in the office Monday through Friday from 8am - 5pm PST and can be reached by phone at (800) 553-9293.

We will be happy to walk you through this form and answer any questions you have directly.

The information requested is used solely to provide the most accurate premium indication possible.

Visit our Website | Contact Us

The Doctors Insurance Agency | 6 Hamilton Landing, Suite 170 | Novato, CA 94949
TEL: 800.553.9293 | FAX: 415.506.3031

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