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.

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.

 

Arkansas

Need an Agent?

Delano McGregor

1221 S MoPac Expy #200
Austin, Texas 78746
Phone Number
512-314-4343
Email Address
DelanoMcGregor@ProAssurance.com
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.

Colorado

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 980
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

Connecticut

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Delaware

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

District of Columbia

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Georgia

Need an Agent?

Tony Angelo

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
205-877-4470
Email Address
TonyAngelo@ProAssurance.com
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.

Idaho

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 980
Middleton, Wisconsin 53562
Email Address
DougDarnell@ProAssurance.com
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.

Illinois

Need an Agent?

Lucy Siebenaler

2600 Professionals Dr.
Okemos, Michigan 48864
Phone Number
517-347-6254
Email Address
LucySiebenaler@ProAssurance.com
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.

Indiana

Need an Agent?

Lee Miller

ProAssurance
Columbus, Ohio 43230
Phone Number
614-755-8813
Email Address
LeeMiller@ProAssurance.com
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.

Iowa

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 980
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

Kentucky

Need an Agent?

Lee Miller

ProAssurance
Columbus, Ohio 43230
Phone Number
614-755-8813
Email Address
LeeMiller@ProAssurance.com
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.

Maine

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Maryland

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Michigan

Need an Agent?

Lucy Siebenaler

2600 Professionals Drive
Okemos, Michigan 48864
Phone Number
517-347-6254
Email Address
LucySiebenaler@ProAssurance.com
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.

Minnesota

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 980
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

Mississippi

Need an Agent?

Delano McGregor

1221 S MoPac Expy #200
Austin, Texas 78746
Phone Number
512-314-4343
Email Address
DelanoMcGregor@ProAssurance.com
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.

Missouri

Need an Agent?

Lucy Siebenaler

2600 Professionals Dr.
Okemos, Michigan 48864
Phone Number
517-347-6254
Email Address
LucySiebenaler@ProAssurance.com
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.

Nevada

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 980
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

New Hampshire

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

New York

Need an Agent?

Charles Francis

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3122
Email Address
CharlesFrancis@ProAssurance.com
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.

North Carolina

Need an Agent?

Tony Angelo

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
205-877-4470
Email Address
TonyAngelo@ProAssurance.com
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.

Ohio

Need an Agent?

Lee Miller

ProAssurance
Columbus, Ohio 43230
Phone Number
614-755-8813
Email Address
LeeMiller@ProAssurance.com
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.

Oregon

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 908
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

South Carolina

Need an Agent?

Tony Angelo

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
205-877-4470
Email Address
TonyAngelo@ProAssurance.com
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.

Tennessee

Need an Agent?

Delano McGregor

1221 S MoPac Expy #200
Austin, Texas 78746
Phone Number
512-314-4343
Email Address
DelanoMcGregor@ProAssurance.com
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.

Texas

Need an Agent?

Delano McGregor

1221 S MoPac Expy #200
Austin, Texas 78746
Phone Number
512-314-4343
Email Address
DelanoMcGregor@ProAssurance.com
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.

Utah

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 908
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

Vermont

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Virginia

Need an Agent?

Steve Austin

100 Brookwood Place
Birmingham, Alabama 35209
Phone Number
202-969-3111
Email Address
SteveAustin@ProAssurance.com
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.

Washington

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 908
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.

Wisconsin

Need an Agent?

Doug Darnell

1600 Aspen Commons
Suite 908
Middleton, Wisconsin 53562
Phone Number
608-926-5807
Email Address
DougDarnell@ProAssurance.com
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.