It’s no secret:
Being a successful broker today means demonstrating value beyond just a standard insurance offering. It now requires you to deliver a full solution set to both your clients and prospects.
With retention and renewal rates higher than industry standards, Conventus doesn’t just help you attract physician clients. We help you win and keep these clients year after year. Discover comprehensive solutions and industry resources that provide you with a competitive advantage in today’s competitive medical professional liability insurance space.

Automatic Withdrawal (ACH)
Name | Format | Download |
---|---|---|
Automatic Withdrawal (ACH) ACH PowerForm |
Download |
New Member Applications
Name | Format | Download |
---|---|---|
Physicians and Surgeons Professional Liability Insurance Physician Application PowerForm |
Download | |
Corporate Entity Corporate Entity PowerForm |
Download | |
Non-Physician Healthcare Provider Professional Liability Insurance Non-Physician PowerForm |
Download | |
Group Application Group Application PowerForm |
Download |
Renewal Applications
Name | Format | Download |
---|---|---|
Physician Renewal Physician Renewal Powerform |
Download | |
Corporate Entity Renewal Corporate Entity Renewal Powerform |
Download |
Supplemental Applications
Name | Format | Download |
---|---|---|
Locum Tenens | Download | |
Cosmetic Procedures | Download | |
Pain Management | Download | |
Physician Practice Location and Hours Update Physician Practice Location and Hours Update Powerform |
Download | |
Bariatric Supplemental Application Questions | Download | |
Part-Time Application Part-Time Application Powerform |
Download | |
Virtual Care Virtual Care PowerForm |
Download |
Power of Attorney
Name | Format | Download |
---|---|---|
Business Entity Policy Power of Attorney Power of Attorney PowerForm |
Download | |
Individual Policy Power of Attorney Power of Attorney PowerForm |
Download |
Loss History / Credentialing
Name | Format | Download |
---|---|---|
Loss History / Credentialing Release Form Loss History / Credentialing Release Powerform |
Download | |
CAQH Signature Form CAQH Signature Powerform |
Download |