Professional Liability Questionnaires (PLQ)
New hires and volunteers practicing under the following license types, with the exception of those with training licenses, need to submit a PLQ: MD, DO, DDS, DMD, DPM, PhD, PsyD and PharmD
New Hire Notification
Providers that do not require a PLQ and hospital employees requiring credentialing need to submit a New Hire Notification form.
Extra-Curricular Student Activity
This webpage, Coverage Forms, is managed by Lynette Belforti, Operations & Underwriting Officer.
Please feel free to contact her for any questions or recommendations regarding page content.