Clinician Proof of Insurance Request

Our Underwriting department is here to assist you.

For insured or ex-insured clinicians requesting on their own behalf.

Delivery & Support Information

Recipient Email Address *

Recipient Name *

To send to another person as well, enter the email address and name in "Note to Underwriting" below.

Recipient Organization

Requirements for Proof of Insurance Requests

Clinician First Name *

Clinician Last Name *

Clinician Title *

Clinician Title Other * Degree not on list?
Enter yours here.

Employer *

Do you need proof of insurance for the current year, all years of employment, or other? *

Other

Confirmation and Follow-Up

I acknowledge this statement to be true. *

By checking the box, you are confirming that you are the CRICO-insured provider in this request. Further, you acknowledge that you have verified the recipient email address above.

Note to Underwriting

Optional

Can’t Reach Us? Assistance for CRICO members with urgent questions or needs may be obtained through the on-call risk manager at your institution.

Claims/Suits: Contact the Claim Manager responsible for your institution or the Senior Vice President of Claims.

Confirmation of Coverage /Facesheets: CRICO-insured physicians needing access to your Confirmation of Coverage (Facesheet), log into your Physician Portal, or email our Underwriting staff or 617.450.8219.

CME Questions: Email Maggie Janes or call 617.4506828.

Media Requests: Email Missy Padoll or call 617.450.6841.

Other Inquiries: To reach someone at CRICO, call 617.450.5500. If you are a physician, identify yourself as such and the organization with which you are affiliated. You will be connected to the CRICO representative responsible for your organization.

Delivery & Support Information

Requirements for Proof of Insurance Requests

Confirmation and Follow-Up

About CRICO

CME Opportunities

Patient Safety & Claims