Quick Quote for Dentists

Please use this Quick Quote form to submit your current info to PRI, so that we may give you a fast estimate on coverage costs. Or, contact our Dental Professional Liability specialists at 888-526-4006 or email us at pridental@medmal.com.

Fields with a * are required.

CONTACT INFORMATION

*
*
*
*
*
*
*
*

PROFESSIONAL LIABILITY INSURANCE INFORMATION

*
(if more than one location, please indicate where you practice more than 50% of the time)
*
*
* Yes
No
*
5. What Type of Policy Would You Like?
*
* $500,000 per claim/ $1,000,000 Aggregate
$1000,000 per claim/ $1,000,000 Aggregate
$1,000,000 per claim / $3,000,000 Aggregate
$1,300,000 per claim/ $3,900,000 Aggregate
$2,000,000 per claim / $6,000,000 Aggregate
* Yes
No
* Yes
No
* Yes
No
* 0
1
2
* Yes
No
* Yes
No
* Implants
TMJ
3rd Molar Extractions
IV Sedation
Nitrous Oxide
Please note: Premium indications will be provided based on the above information. This form does not guarantee coverage. A dental malpractice insurance application must still be completed for a policy to be issued. All premiums are subject to underwriting review of a completed application.
Please click “Submit Quick Quote” below and one of our Insurance Specialists will contact you to discuss your coverage options and estimated quotation.
 
ALL QUOTES ARE ONLY AN ESTIMATE.
A PRI dental application will have to be filled out for an actual quote.