Life Insurance Agents E&O Application

Thank you for applying for life insurance agent professional liability coverage, sponsored by FEG Insurance Services and underwritten by the Scottsdale Insurance Company. The Financial Services Professional Liability Purchasing Group managed by ProSurance Group acts as Scottsdale’s program administrator for this program. This is a claims made and reported policy that provides: $1,000,000 per wrongful act limit $1,000,000 annual agent aggregate limit $5,000,000 annual policy aggregate for all insureds $500 retention (deductible) for claims solely arising from FEG products $2,500 retention for claims involving non-FEG fixed products $5,000 retention for claims involving fixed annuities Certain exclusions apply to the coverage. Click Policy Info for more information about the coverage and a sample policy.
* required field
Applicant Information
Suffix (optional)
First Name *
Last Name *
Street Address *
Suite, Apt #
City *
State *
Zip *	· zip format (56543) or (56543-2345)
Day Phone *	· phone format (444-333-2222)
Alternative Phone *	· phone format (444-333-2222)
Email *
Revenue, as a life insurance agent *	$ · revenue format (43,321) or (43321)