Want to learn more about medical professional liability coverage and options?

If you’re ready to apply or renew, we offer two easy options. Find instructions and applications below by using the dropdown menus to select your state and your facility or profession.

OPTION 1: Apply or renew by email

Complete and save the fillable PDF application online, then email the completed form as an attachment to your insurance broker. If you do not have a broker partner, you can find one near you or simply email the completed form to our team at NewBusiness@ConstellationMutual.com and we can help you from there.

To complete your application online:

  1. Save the PDF application to your computer.
  2. Ensure you have the current version of Adobe Reader.
  3. Open Adobe Reader.
  4. Choose File > Open, and find the PDF application you saved to your computer. Open the application.
  5. Complete all required fields. When you are finished, click the Signature of Applicant field.
  6. Follow the steps onscreen to create and insert your electronic signature.
  7. Save the document.
  8. By submitting a signed form by email you are agreeing to conduct this transaction electronically.

OPTION 2: Apply or renew by mail or fax

Fax or mail the completed application to your insurance broker. If you do not have a broker, you can find one near you or simply fax or mail it directly to Curi and we can help you from there.

ATTN: Sales and Marketing

7650 Edinborough Way
Suite 525
Minneapolis, MN 55435
Fax: 952

If you are completing a renewal application and do not see the correct form, please contact your underwriter.

Questions? Use the provided contact form to send an email to our team.

Select State Applications:

Select Type of Application: