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Call or Submit Your Info


For your convenience, there are several ways to submit your information to Conventus: via online, phone, fax, or through an agent or broker.

Simply fill out the form below to submit your request online to obtain a free, no-obligation premium quotation from Conventus, or call (877) 444-0484, Ext. 466 and ask to speak to a Membership Sales Representative.

You may also click here to download a Fax Reply Form.

A Membership Sales Representative will contact you well in advance of your policy expiration date to discuss your medical professional liability insurance coverage needs.

Online Submission


*Physician's Name
 *Phone
License Number
 Fax
Specialty
 *Email
Policy Expiration Date
 Street
Current Insurance Carrier
 City
Current Insurance Broker
 State
Retro Date
 Zip
Practice Type
Solo Group
 Current Policy Type
Number of Physicians in Group

 Best Time to Call
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If you prefer to work with an agent or broker for your insurance needs, click here for a list of Conventus Agents and Brokers.

What Physicians Say

ABOUT Conventus

  • "Becoming a member of Conventus since its inception was a great decision. They have always provided professional service, excellent proactive practice support, and most importantly, they make you feel like you are part of a family."

    -Robert Venuti, D.O.
    Family Practice, Turnersville, NJ (Camden)