E & O Insurance From PIA

PIA is not just your agents association, we are also a leading national provider of errors and omissions insurance. We maintain relationships with numerous E&O providers, with differing appetites, representing both admitted and non-admitted markets, so chances are we can find the coverage and price that's right for you.

Of course, we are PIA, so you know we have your best interests at heart.

Whether you are a PIA member or not, the next time you are in the market for an E&O policy, please allow PIA to provide you with an indication.

Request a Quote

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First Name

Last Name

Agency Name

Address

City

State

Zip Code

Phone Number

Website

Number of Years in Business

Number of Staff

Number of Licensed Staff

Previous step

P&C Premium

P&C Commissions

Life/A&H Premium

Life/A&H Commissions

Total Premium Volume

Total Commissions

% of Business with non-rated carrier

% of Business with non-admitted carrier

% of revenue derived as "Retail"

% of revenue derived as "Wholesaler"

% of revenue derived as "Surplus Lines Broker"

% of revenue derived as "MGA"

% of Business w/ Insurers Less than "B+" (AM Best Rating)

Any Binding or u/w Authority?

Yes

Previous step

Lines of Business Placed (must total 100%)

List the percentage for each line of business placed (P&C Commercial and Personal and Life & Health). The total of all lines of business listed when added together should total 100% (example: Personal Auto – 50%; Commercial BOB – 25%; Individual Life – 25%= 100%).

Any services other than insurance agent/broker (Financial Planning, Real Estate, Tax Advice, etc.)?

Yes

Percentage of business that is Direct Bill (%)

Does your agency use an exposure checklist?

Yes

Does your agency have an office procedure manual?

Yes

Claims in the past five years? (if yes, please provide # of claims, claim details and loss runs)

Yes

# of claims, claim details and loss runs

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Current E&O Premium

Current E&O Carrier

Current E&O Limits

Deductible

Defense Outside Limits?

Yes

Deductible applies to:

Loss Only

Loss and Claims Expenses

Effective Date

Retroactive Date

Do you purchase data breach, privacy or cyber risk insurance for the Agency?

Yes

Are you aware of any circumstance, error or omission which may result in a claim against any of the companies or individuals proposed to be insured?

Yes

Previous step

PIA Professional Liability Indication Form

Contact me closer to my renewal

We can also quote off your current renewal application.
Simply email or fax it to Teresa Lewis, your lead PIA E&O producer.

Teresa Lewis
National Insurance Representative
National Association of Professional Insurance Agents
Toll Free Phone: 1-800-742-6900 ext. 381
Direct Dial: 703-518-1381
Fax: 703-549-5190
tlewis@pianational.org

E & O Insurance From PIA