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The
Psychiatrists' Program specializes in professional
liability insurance coverage for psychiatrists
and mental health professionals.
Unlike most professional liability insurance programs, The Psychiatrists' Program has only one focus: psychiatry. We tailor our policy and services to meet your needs. For over 25 years, our staff of psychiatric professional liability specialists has provided personal service and expertise... you will not have to explain psychiatric terminology to us.
_____________________
The Psychiatrists' Program
1515 Wilson Blvd, Suite 800
Arlington, VA 22209-2404
(800) 245-3333
TheProgram@prms.com
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Group
Coverage Application
Download
the applications below (.pdf format), complete the application,
then return the application to PRMS, Inc. by faxing it to
(703) 276-0873 or mailing it to:
PRMS,
Inc.
1515 Wilson Blvd. Suite 800
Arlington, VA 22209-3985
The application
you need depends on the state in which you practice. To get
this application, call (800) 245-3333, ext. 304, or find your
application online, according to the lists below:
National Union Group Application - Select States
Alaska, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Illinois, Indiana, Maine, Mississippi, Missouri, Nevada, North Dakota, Oregon, Pennsylvania, Vermont, Washington
National Union Group Application - Select States
Ancillary Staff Application
Alabama, Arizona, Arkansas, Connecticut, Delaware, Idaho, Iowa, Kentucky, Maryland, Michigan, Minnesota, Montana, New Jersey, North Carolina, Ohio, Rhode Island, South Carolina, South Dakota, Texas, Utah, Virginia, West Virginia, Wyoming
National Union Group Application: New Hampshire or New York
New Hampshire and New York
Lexington Insurance Company
Ancillary Staff Application
Hawaii, Louisiana, Nebraska, New Mexico, Oklahoma and Tennessee
Lexington Insurance Company: Massachusetts
Ancillary Staff Application
Affidavit File: As per the Massachusetts Division of Insurance requirements, an affidavit for surplus lines state filing has been enclosed with the application for coverage. The affidavit form must be completed and signed where indicated and returned to PRMS along with your completed application.
Massachusetts
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