Healthcare Liability Insurance for Outpatient Rehabilitation Facilities
Click on the state that you wish to apply
Currently writing business
Currently not writing business
Please Note: If you are experiencing difficulty opening the above applications, you may need to upgrade your browser to
IE8 or higher, or Firefox 7 or higher. In addition, please be sure your pop-up blocker is disabled.
IE8 or higher, or Firefox 7 or higher. In addition, please be sure your pop-up blocker is disabled.
We use Adobe AcrobatReader to view PDF files
Complete the application and send to us:
Email: facilities@medpro.com
Fax: 972.543.9240
Mail:
Medical Protective
Healthcare Facilities Team
5814 Reed Road
Fort Wayne, IN 46835
Submission Requirements:
- Current applications (MedPro Application required within 30 days of binding coverage)
- Currently valued prior carrier loss runs (Minimum of 10 Years of Data)
- Detailed narrative for open/closed claims >$50K
- Current audited financial statement
- Organizational chart
- Schedule of physicians/advanced allieds requiring coverage