Federal Employee Risk Management Association Professional Liability Application
 
NOTICE: THIS IS A CLAIMS-MADE FORM: EXCEPT TO SUCH EXTENT AS MAY OTHERWISE BE PROVIDED HEREIN, THE COVERAGE OF THIS POLICY IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED AND REPORTED IN WRITING TO THE COMPANY WHILE THE POLICY IS IN FULL FORCE. PLEASE REVIEW THE POLICY CAREFULLY.
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  All full or part-time Federal Employees are eligible to apply for Wright USA’s Federal Employee Professional Liability Insurance (FEPLI) plans.

Wright USA has made a concerted effort to keep our online application process brief, so most fields on the application form require answers to help us help you pick the best plan and serve you better. Once you have entered all the information requested, please click the “Continue” button.

If you have any questions during the application process, please call 800-424-9801 for assistance.

 
 *  Select your desired Liability Coverage Limit