On-line Application for In-House Counsel Insurance

We’re Lawyers Insurance Group, legal malpractice insurance brokers.

Our mission is to obtain the broadest Employed Lawyers Insurance coverage at the best price for every in-house attorney.

We accomplish this via aggressive comparison shopping on their behalf, leveraging our access to all “A”-rated insurers that cover in-house counsel. We also provide attentive service, expert advice, and strong coverage advocacy if you incur a claim.

Fill out and submit the online form below to obtain no-cost, no-obligation quotes. Put any relevant information not captured by the form, in the "Message" box.

We’ll send your application to all viable insurers, based on your in-house counsel risk profile, contact you when we receive their quotes, and answer all of your questions. It’s a low-key process, without any sales calls or pressure.

For assistance, contact Curt Cooper, Principal Broker: ccooper 'at' lawyersinsurer.com, or (202) 802-6415.

* indicates a required field; put "N/A" if the question doesn't apply. Answer "Yes" for each practice area that accounts for 5% of the total work done by all of your organization's in-house attorneys. Otherwise, answer "No".

Name:

Email:

Message:

Legal Name of Organization Applying for Coverage and All Subsidiaries*

Street Address, City, State, and Zip Code of Applicant's Main Office*

Applicant's Date of Formation or Incorporation*

Applicant's State of Formation or Incorporation*

Applicant' Primary Business and SIC Code*

Enter the number that describes the Applicant's status*: #1 Public Entity | #2 Private Entity | #3 Non-Profit Entity

What is the Average Service Time of Applicant's Directors (in years)?*

If Applicant is publicly-held, provide the exchange it's listed on, and its stock ticker symbol (put "N/A", if not publicly-held).*

Name and Title of In-House Counsel #1*

In-House Counsel #1 Status*: FT (full-time)| PT (part-time)| IC (independent contractor)

In-House Counsel #1 Bar Admission(s) State/Year*

Name and Title of In-House Counsel #2

In-House Counsel #2 Status: FT (full-time)| PT (part-time)| IC (independent contractor)

In-House Counsel #2 Bar Admission(s) State/Year

Name and Title of In-House Counsel #3

In-House Counsel #3 Status: FT (full-time)| PT (part-time)| IC (independent contractor)

In-House Counsel #3 Bar Admission(s) State/Year

Name and Title of In-House Counsel #4

In-House Counsel #4 Status: FT (full-time)| PT (part-time)| IC (independent contractor)

In-House Counsel #4 Bar Admission(s) State/Year

Name and Title of In-House Counsel #5

In-House Counsel #5 Status: FT (full-time)| PT (part-time)| IC (independent contractor)

In-House Counsel #5 Bar Admission(s) State/Year

Yes or No: Is the Applicant considering a public offering of debt or equity within the next 18 months?* If "yes", explain.

Yes or No: Does the Applicant plan to merge with, acquire, or be acquired by another entity or consolidate any of its subsidiaries in the next 12 months?* If "yes", explain.

Practice areas more than 5% of total in-house counsel legal services (answer Yes or No for each (type Y or N))* - Contract Drafting/Review/Approval

Collection/Repossession*

Corporate Finance*

Corporate Transactional*

Environmental Compliance*

ERISA/Employee Benefits*

International Law*

Labor Relations*

Litigation*

Regulatory Compliance*

Moonlighting (representation of clients other than the Applicant)*

Pro Bono*

Real Estate*

Securities*

Taxation*

Other #1 (explain)

Other #2 (explain)

Other #3 (explain)

Yes or No: Does any in-house counsel issue written legal opinions to or for the use of the Board of Directors?*

Yes or No: Does any in-house counsel issue written legal opinions to or for the use of third parties?* (If yes, explain)

Yes or No: Does any in-house counsel serve on a due diligence committee or perform legal services on connection with any of the Applicant's mergers, acquisitions, or consolidations?* (If yes, explain)

Yes or No: Does any in-house counsel represent individual employees of the Company in judicial, administrative, or other proceedings?* (If yes, explain)

Yes or No: Does any in-house counsel provide personal legal services to any director, officer, or employee of the Applicant in his or her individual capacity?* (If yes, explain the type of personal legal services provided, and the % of time counsel spends on them.)

Yes or No: is it the Applicant's policy or practice to indemnify in-house counsel, regardless of whether he/she/they are directors of officers of the Applicant?* If “Yes,” attach indemnification and limitation of liability provisions in the certificate of incorporation or corporate bylaws, and any other indemnification policies or agreements.

Yes or No: Does any in-house counsel comment on, or approve financial statements, proxy statements, prospectuses, registration statements, annual or quarterly reports, or other reports filed with federal or state agencies or released to shareholders or the public about the Applicant?* (If “Yes,” explain.)

Name of Applicant's Current In-House Counsel Insurer*

Current In-House Counsel Insurance Policy Expiration Date*

Current Insurance Policy Limits, Deductible, and Premium*

Name of Applicant's Current Directors & Officers Insurer*

Current Directors & Officers Insurance Policy Expiration Date, Policy Limits, Deductible, and Premium*

Have any of Applicant's in-house counsel ever been disciplined, or is the subject of a pending disciplinary proceeding?*

How many malpractice claims or potential claims have the Applicant's in-house counsel incurred in the past five years?*

On-line Application for In-House Counsel Insurance

LEGAL MALPRACTICE INSURANCE EXPLAINED

I. LEGAL MALPRACTICE INSURANCE

A. Claims-Made Coverage Primer

B. Malpractice Coverage Analysis

C. Malpractice Insurance Litigation

II. LEGAL MALPRACTICE CASES

Legal Malpractice: Get Rich or Sue Your Lawyer - Rapper '50 Cent' Seeks $75M From Law Firm
III. LEGAL ETHICS

Attorney Battles To Keep Millions He Left Himself In Client's Will
Lawyers Disbarred For Setting Up Adversary’s DUI Bust

III. LEGAL ETHICS

Attorney Battles To Keep Millions He Left Himself In Client's Will
Lawyers Disbarred For Setting Up Adversary’s DUI Bust

Lawyers Disbarred For Setting Up Adversary’s DUI Bust

On-line Application for In-House Counsel Insurance

LEGAL MALPRACTICE INSURANCE EXPLAINED

I. LEGAL MALPRACTICE INSURANCE

A. Claims-Made Coverage Primer

B. Malpractice Coverage Analysis

C. Malpractice Insurance Litigation

II. LEGAL MALPRACTICE CASES

III. LEGAL ETHICS

Follow us