We believe in providing a wide variety of flexible and reliable coverage solutions for medical professionals who have difficulty finding coverage within the standard market. Begin the process by downloading and completing an application for coverage.
Additional information and form descriptions can be found below.
Our Policies
PULIC offers claims-made and reported policies with limits up to $2 million per claim and $6 million annual aggregate. The policies are nonassessable. PULIC offers physicians, surgeons, and podiatrists two policy forms to choose from: our traditional Broad Form Policy, or our more restrictive S800 Policy Form.
The Broad Form includes a pure consent-to-settle provision and generous extended reporting coverage (tail) options. It also provides legal defense costs in addition to the limits of liability. Our more restrictive S800 Policy Form gives applicants a choice of coverage with a limited consent-to-settle provision, legal defense costs inside the limits of liability, and limited extended reporting coverage (tail) options for a significantly reduced price. Certain aspects of the S800 Policy Form can be modified to broaden coverage. For example, the limited consent-to-settle provision can be broadened to a pure consent-to-settle provision. Retroactive coverage (prior acts coverage) is available on both policy forms for applicants who qualify. PULIC offers dentists a Broad Form Policy specific to the practice of dentistry. PULIC’s program coverage is available throughout most of the United States. Doctors and medical professionals insured through us know they have the best protection possible. PULIC is your solution.
No Known Claims Declaration
If you are asking us to bind coverage or to reinstate coverage for a policy that has been canceled or has expired, please complete this declaration.
Claims Information
This is a supplemental Claims Information form. Please complete this form for every claim in which you have ever been involved, even if you were completely dismissed and no loss was paid on your behalf.
Bariatric Questionnaire
Please complete this form if you are a physician or surgeon who performs any bariatric surgery.
Pain Management Questionnaire
Please complete this form if you are an anesthesiologist, pain management specialist, or any physician who performs any pain management procedures.
Plastic/Cosmetic Questionnaire
Please complete this form if you are a physician or surgeon who performs any plastic or cosmetic procedures.
Allied Personnel Application
We know that doctors depend upon many other medical professionals to help them deliver quality patient care. Our programs offer coverage on a shared-limits basis for allied and ancillary personnel, such as nurse practitioners, physician assistants, CRNAs, certified nurse midwives, as well as office staff and other licensed and credentialed medical and technical personnel. Medical professionals insured by us can count on our broad coverage benefits, our exceptional customer service, and our continued financial strength and stability. PULIC is your solution. Please complete this form if you desire coverage for any nurse practitioner, physician assistant, nurse midwife, nurse anesthetist, surgical assistant, or radiology technician working in your practice.
Prior Acts Supplemental Questionnaire
If you are applying for prior acts coverage (retroactive coverage), please complete this form.