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Contact Information:
Stan Wright, CFP
3223 8th Street
Metairie, LA 70002

(504) 581-6677

Click here to e-mail us

 

"You be the Judge..."

 

If you would like to get a comparative cost analysis of your present professional liability coverage compared to self-insuring, then complete the questionnaire below. We will be more than happy to furnish you with the comparative cost analysis via fax and/or mail.

Name of Physician or Group
Medical Specialty
Address
City
State
Zip Code
Office Phone
Other Phone
Fax number
E-mail Address
Amount of present coverage
(i.e. $100,000/$300,000)
Renewal Date
Original Date of Purchase
Base Policy Premium
(per physician)
LPCF Premium
(per physician)
Amount of Deductible
Number of Physicians Insured
Comments/Questions: