Allied Healthcare, Social Services Program, Long Term Care, Small Hospitals

Each of these programs have a short list of questions that need to be provided for non-binding premium indications.
Note to Brokers: No firm Quote can be provided until completed applications are received and processed by Richter Robb Pacific Insurance Services, Inc.

• Advise us of the class of business (home health, medical staffing, clinic, etc.)
• Location
• Exposure - need annual receipts, number of drivers for NOA, and estimated number of visits
• Retro date

• Advise us of the class of business (mental health, tutoring, drug rehab, etc.)
• Number of licensed and occupied beds, if any
• Estimated annual receipts
• Estimated annual number of clients served
• Retro date
• Location

• Number of licensed and occupied beds
• Type of beds (skilled, independents, ALF)
• Retro date
• Location

• A complete submission is needed for risks under this program. We must have current apps signed by the insured and 5-10 years loss history.

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