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Moran Education Foundation
Professional Liability Insurance – Shopping Form
KimMoranCo
2022-07-28T21:23:13-07:00
Your law firm needs malpractice protection.
Lawyers Professional Liability Insurance
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Moranco Malpractice Insurance
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Lawyers Malpractice Insurance Program.
We Shop – You Win! Over 1300 firms are now participating.The administrator of this program is Moranco & Associates. Moranco shops the liability insurance market for you to find you substantial savings on your malpractice insurance coverage.
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Name of your Law Firm
*
Contact Person
*
Email
*
Phone
*
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Date your law firm was established
Number of claims or suits made against the firm or any lawyer in the firm in the past five years
*
Number of incidents and/or circumstances that might result in a claim
*
How many suits for collection of fees have been filed against clients in the last two 2 years?
*
File Upload
Upload any documents you wish to send us regarding claims or bar complaints.
Drop files here or
Select files
Max. file size: 32 MB.
Risk Management
Do you share office space with other lawyers?
*
Yes
No
Do they carry their own insurance?
*
Yes
No
Does the firm utilize a computerized docketing system?
*
Yes
No
Does the firm use a planned docket system with at least 2 independent controls?
*
Yes
No
Do 2 separate people enter dates into 2 separate systems for the same matter?
*
Yes
No
Number of full time non-licensed legal staff
*
Number of part time non-licensed legal staff
*
Do you utilize a conflict of interest system?
*
Yes
No
Is it computerized?
*
Yes
No
Does it also have an app?
*
Yes
No
Do you also use index cards?
*
Yes
No
Do you always utilize engagement letters?
*
Yes
No
Do you always utilize dis-engagement letters?
*
Yes
No
Do you always utilize termination letters?
*
Yes
No
Did all attorneys in your firm complete the WSBA required CLE and Ethics hours in the past 12 months?
*
Yes
No
Has the firm or any predecessor firm or covered attorney ever had coverage declined or a policy non-renewed?
*
Yes
No
Has any current or former member of the firm or predecessor firm been refused to practice, disbarred, suspended, reprimanded, fined or held in contempt?
*
Yes
No
Upload any documentation/describe circumstances pertaining to coverage declination/non-renewal.
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 32 MB.
What is your firms' estimated annual gross income?
Current Coverage Information
Do you currently have a Lawyers Professional Liability insurance policy?
*
Yes
No
Liability Insurance Policy expiration date
Current Insurance Company
Number of years you have been continuously insured
Retroactive (Prior Acts) Exclusion date. Indicate N/A if None or if a new firm.
Limits of Liability you'd like quoted
*
Deductible (Per Claim/Aggregate)
*
Annual Malpractice Insurance Premium
Attorney Roster
Please include details on all attorneys associated with your firm
*Designation Code: P - Partner, OC - Of Counsel, PT - Part Time (<26 hours per week), S - Sole Practicioner, IC - Independent Contractor. **Individual Retroactive Date may not apply to your firm.
Name
Code*
Yrs in Practice
Hire Date
Hrs/week
Retro Date**
More than 5 attorneys? Upload attorney list here.
Drop files here or
Select files
Max. file size: 32 MB.
Predecessor Firm Information
Do you have predecessor firms to report?
*
Yes
No
Are you requesting coverage for these predecessor firms?
Yes
No
Add Predecessor Firms
Name of Pred Firm
Date Established
Date Terminated
# Attorneys
% Ownership Retained
Areas of Practice Information
Practice Area 1
*
% of revenue generated from area 1
Practice Area 2
% of revenue generated from area 2
Practice Area 3
% of revenue generated from area 3
Practice Area 4
% of revenue generated from area 4
Practice Area 5
% of revenue generated from area 5
Litigation: what is the average case size and max case size over prior 12 months?
i.e. What % of cases are settled before trial vs tried to verdict? How many cases does each attorney handle per year?
Additional information on practice areas can be entered here.
List an 'other' category above? Have more areas to add?
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