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)
*
* Full Time
Part Time
New Doctor 1st year
2nd year
3rd year
* Yes
No
*
5. Type of Policy:
*
* $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
$2,000,000 per claim / $6,000,000 Aggregate
* Yes
No
* Yes
No
* Yes
No
* 0
1
2
Please note: Premium indications will be provided based on the above information. In addition, there are scheduled credit/debits up to 15% which you may be eligible for and which can only be determined upon receipt of a completed application. 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.
 
ALL QUOTES ARE ONLY AN ESTIMATE.
A PRI dental application will have to be filled out for an actual quote.