ENCLOSED ARE THE FORMS NECESSARY FOR
Thank you for choosing to apply with LSA.
We know that you have choices when purchasing liability insurance to protect your reputation and your medical practice. We appreciate the opportunity to earn your business.
A few items that are especially helpful to know at the start of the application process:
- Please review the Business Associate Agreement. click here
- Entity coverage may not be available unless all partners, shareholders, and employed physicians are insured by the company.
- Coverage is not typically available if you have an uninsured period (gap). Please contact us to discuss further.
When submitting your application, please enclose:
|A copy of your current declarations page |
|Current loss run(s) for a five-year period |
Any additional documentation requested in the application
|Which billing and payment option is right for you?Missing or incorrect value|
There are no finance charges or transaction fees associated with LSA payment plans. You can set up recurring automatic payments once your policy is issued by contacting Customer Service at 1-844-595-8866 ext. 5050 for assistance.