PRELIMINARY APPLICATION FOR MEMBERSHIP


Become a member-owner and join a national medical malpractice insurance leader.

A nationwide network of independent brokers available.

Complete the preliminary application for membership below. An independent medical malpractice insurance broker will contact you once the completed application is received and provide you with a quote to become a member-owner of Oceanus Insurance.

  • General Information

    Your Contact Information
  • Practice Information

  • Current Professional Liability Coverage

  • per claim
  • per aggregate
  • Physician/Surgeon Information

  • Additional Comments

    Please give any additional comments you feel appropriate for this premium indicator. If you have additional information where there was not enough space, please enter them here.