Managed Care Errors and Omissions Liability - Travelers 2025

1. Click ‘Get Form’ to open the Managed Care Errors and Omissions Liability document in the editor.
2. Begin by filling out ITEM 1, entering the Named Insured's name, doing business as (D/B/A) name, and the Principal Address.
3. Proceed to ITEM 2 to input the Policy Period details, including the Inception Date and Expiration Date. Ensure both dates reflect standard time at the Principal Address.
4. In ITEM 3, provide all necessary contact information for notices of claim or loss, including email and fax numbers.
5. Complete ITEM 5 by marking applicable coverage features and entering limits of liability in ITEM 6. Specify amounts for each claim and total claims.
6. Fill out any additional sections such as Retention amounts in ITEM 6 and premium details in ITEM 9 as required.

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