Get A Quote
Receive a Products Liability Quote. To receive a coverage proposal from one of our experienced underwriters, please ask your broker to contact us or complete a Medmarc application, accessible below, and send it to us by email, fax or postal mail.
New Business Application (Microsoft Word – fill out on your computer)
New Business Application (Adobe PDF – print and fill out)
Renewal Application (Microsoft Word – fill out on your computer)
Renewal Application (Adobe PDF – print and fill out)
Note: Be sure to enable Macros for editing the Word versions of the application. Once macros are enabled it may take up to a minute for the form to refresh and be editable.
Addendum A (Medmarc Casualty Policies in New York only)
Additional Lines Coverage. For coverage beyond products liability, fill out The Hartford supplemental application, which is included, above, with the New Business Application.
Application files are downloadable in Microsoft Word and Adobe PDF file formats. Download Microsoft Word Viewer or Adobe Reader to view the applications.