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Insurance Application

Federal Employee Professional Liability

Initial

Returning Policyholders: Please sign-in before renewing your policy and select the 'Renew Membership' button.

Please fill out all of the information below and select the join now button at the bottom of the form. Our checkout process consists of three steps. After filling out this form you will be asked for Billing Details including Name, Address, email id and desired password for your account. Please remember your email id as this is your account id when you wish to return to the site for renewals or to reprint lost certificates.

The third step is to ask for payment details. Once you have completed these steps you will be sent a notification to the email id you provided which will include your membership certificate and payment receipt for reimbursement by your agency. Thank you for becoming a member of FEDS Association.
Policyholder Details
Please elect liability limits:
(Note: Some agencies may cap the reimbursement amount at $150.)
$2M liability coverage (premium of $370.00)
$1M liability coverage (premium of $270.00)
Please enter your gender
I hereby certify that I am full or part time federal employee. Please select the federal agency or department that employs you:
If your agency is not in the list above, please enter it here.
Other Work Location

Do you currently have professional liability coverage?
When did you first purchase continuous Federal Employee Professional Liability from any Provider?
Enter Other Year

Enter month you first purchased coverage
Please tell us how you heard about FEDS.
Please describe the position that best describes you:
if other, please specify
other position

I represent that the above statements are true and no material facts have been suppressed or misstated. I understand that if I currently have knowledge of any allegation, claim or suit, or any act error or omission, which might reasonably be expected to result in a claim or suit, the matter for which I have prior knowledge of will not be covered by my FEDS membership.
My initials indicate I authorize purchase of professional liability insurance and the above statement is true to the best of my knowledge.



Base Policy Premium
 $270.00