Find an Application
An Ob-Gyn Risk Alliance/ProAssurance agent will be happy to assist you in applying for coverage. Find your state below for contact information.
We take care to underwrite your risk precisely, and our application reflects that commitment. After you apply and choose this coverage, you will also join the RPG; that is the federal law’s requirement for accessing the insurance program of an RPG. Your agent will explain this to you in more detail.
The Ob-Gyn Risk Alliance (OBRA)
OBRA is the first medical professional liability insurance program established exclusively for obstetrician-gynecologists. The program is overseen and guided by a team of ob-gyns to ensure the best interests of all members are addressed. You receive specialty-specific coverage, underwriting, pricing, claims handling, and risk management services.
Application Forms
Find your state to view Ob-Gyn Risk Alliance program details, application forms, and appointed agents. Current ProAssurance insureds, simply submit the supplemental application to an Ob-Gyn Risk Alliance/ProAssurance-licensed agent. New applicants, select your state and contact an Ob-Gyn Risk Alliance/ProAssurance-licensed agent to request more information.
Prospective customers who are not yet working with an agent can contact ProAssurance for a list of agents in your area. Your local market manager is listed here.
Arkansas
Physician New Business Application | 11 pages
Physician Renewal Application | 7 pages
Physician Supplemental Application | 3 pages
Corporate New Business Application | 7 pages
Corporate Renewal Application | 7 pages
Corporate Supplemental Application | 4 pages
Universal Fraud Warning | 1 page
Colorado
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Connecticut
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Delaware
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
District of Columbia
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Florida
Physician New Business Application | 9 pages
Physician Renewal Application | 5 pages
Physician Supplemental Application | 3 pages
Paramedical Application | 4 pages
Midwife Paramedical Application | 4 pages
Corporation New Business Application | 5 pages
Corporation Renewal Application | 5 pages
Georgia
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Idaho
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Illinois
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Indiana
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Iowa
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Kentucky
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Maine
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Maryland
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Michigan
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Minnesota
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Mississippi
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Missouri
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Nevada
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application| 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
New Hampshire
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
New York
Physician New Business Application | 11 pages
Physician Renewal Application | 7 pages
Physician Supplemental Application | 3 pages
Corporate New Business Application | 7 pages
Corporate Renewal Application | 7 pages
Corporate Supplemental Application | 4 pages
Midwife Paramedical Application | 5 pages
Paramedical Application | 5 pages
Universal Fraud Warning | 1 page
North Carolina
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Ohio
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Oregon
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
South Carolina
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Tennessee
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Texas
Physician Application | 5 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Utah
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Vermont
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Virginia
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Washington
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
Wisconsin
Physician Application | 9 pages
Physician Supplemental Application | 3 pages
Corporation Application | 5 pages
Corporation Supplemental Application | 4 pages
Midwife Paramedical Application | 4 pages
Paramedical Application | 4 pages
Universal Fraud Warning | 1 page
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