Application for Membership

By completing the application for lawyers professional liability insurance, the Applicant agrees that this is also an application for membership in the Lawyer’s Protector Plan Purchasing Group (“LPG”). LPG is a purchasing group formed and operating pursuant to the Liability Risk Retention Act of 1986 (15 USC 3901 et seq.) under which liability insurance and related benefits are made available to group members.

The Applicant understands that the lawyers professional liability insurance being applied for is only available to members of LPG and that the Applicant must be a member of LPG in order for this lawyers professional liability insurance to be issued.

The Applicant further understands that only upon meeting the underwriting requirements imposed by LPG’s insurer and paying the annual membership dues will the Applicant be eligible for membership in LPG, and be afforded the opportunity to use the benefits available to its members.
Applicant*
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Disclaimer: Insurance coverage and/or claims can not be bound, amended, or canceled through this contact form.