Applications
Send us your submissions
Applications and submission requirements
To expedite the underwriting and quoting process, all applications are posted below.
We require the following for a complete submission:
Send us your submissions online or to [email protected].
Need a quote today? Call us at 630.861.2330!
Interested in getting appointed?
We’re expanding our network of retail agents! If you have a book of professional liability insurance ($100,000+ annual gross written premium) and are looking to grow your business, let’s talk!
PUA applications
Architects & engineers
Design-build & contactors
Miscellaneous professional liability
Special financing available
Your clients have the option to finance their premiums through our partnership with First Insurance Funding. This allows them to make monthly payments and conveniently manage their account online.
Sandip R. Chandarana, J.D., CPCU, RPLU
Program Director
With a career dedicated exclusively to the professional liability space, Sandip Chandarana leads the PUA team in delivering industry-leading expertise, risk management and insurance solutions.
We are here to help
Call us at 630.861.2330 or send a submission and request more information.