Download an Application

Superior Protection, Great Rates, Elite Experience, Extreme Service:  MedEdge is the most comprehensive medical professional liability insurance solution for Physician Assistants. 

If you’d like a quote for MedEdge medical professional liability insurance, but would prefer not to use the online quote system, you may also download a PDF application and submit it via fax or email. 

Check the MedEdge map for available states.  If we are not available in your state yet, we should be soon! 

Application Name	Format	Download
Physician Assistant Application for New York State (PAs buying direct)
Physician Assistant Application for New York State (Brokers)
Physician Assistant Application for All Other States (PAs and Brokers)
Physician Assistant Student Application
Physician Assistant School Application

Email the completed application to NIProSub@nipgroup.com or fax to (732) 791-4097.