Home
Workers Compensation
Auto Insurance
Homeowners Insurance
Life Insurance
Health Insurance
Group Health Insurance
Office Package Policy
DDS Malpractice Program
Testimonials
Optometric Professional
Human Resource Program
Payroll Services
Homeowners Insurance

Welcome to the West Coast Physicians Benefits Plus Section for Homeowners Insurance sponsored by the Travelers Insurance Group of Company's in conjunction with West Coast Physicians Insurance Services and MC All Risk Insurance Services. As an owner or employee that is part of our large Group of Physicians & Dentists throughout the United States you are now eligible to apply for Homeowners Insurance into Travelers highly preferred Homeowners Insurance program. This benefit will entitle you to additional discounts that are not available to non-members.

To receive your quote please complete the questionnaire below and hit the submit key at the bottom of this section. All questions with an asterisk must be answered to provide you with Travelers Proposal. Should you have any questions please e-mail all questions to: mkim@mc-allrisk.com .

* Required fields
Name *
E-mail Address *
Insured Name *
Second Insured Name
Address *
City, State & Zip Code *
Home Phone *
Alternate Phone *
Insured Social Security Number *
Insured Date of Birth *
Second Named Insured Social Security Number
Second Named Insured Date of Birth
Employer Name *
Do you have Pets *
Do you have a business or daycare at your home *
Do you have a swimming Pool or Trampoline? *
If this is a new purchase, what was the purchase price of the property?
PROPERTY INFORMATION (YEAR BUILT) *
SQUARE FOOTAGE *
NUMBER OF STORIES *
BASEMENT *
NUMBER OF FIREPLACES *
NUMBER OF BATHROOMS *
TYPE OF ROOF *
FRAME OR BRICK CONSTRUCTION *
AIR CONDITIONING *
ATTACHED GARAGE *
NUMBER OF CAR GARAGE *
AMOUNT OF DWEELLING COVERAGE *
DEDUCTIBLE *
PERSONAL LIABILITY COVERAGE *
ANY SPECIAL COVERAGE'S NEEDED?
LAST YEAR PLUMBING WAS UPDATED IF HOME BUILT BEFORE 1980
LAST YEAR WIRING WAS UPDATED IF BEFORE 1980?
LAST YEAR HEATING WAS UPDATED IF HOUSE WAS BUILT BEFORE 1980?
WHEN WAS ROOF REPLACED LAST? *
PLEASE DESCRIBE ANY LOSSES DURING THE PAST FIVE YEARS. PLEASE GIVE DATES AND AMOUNTS IF AVAILABLE *
WHAT DOCTOR / DENTIST DO YOU WORK FOR?
What Company do you currently have your Homeowners / Renters Insurance with? *
What date does your Homeowners Insurance renew on?

I have read and agree to the Privacy Policy *

Spam prevention


Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:


Thank you for completing the above form. You will be receiving your proposal within the next 48 hours. Should you have any questions or if your need to get your proposal right away please feel free to give us a call anytime.

Kimberly McCann - V.P.

West Coast Physicians Association

 

All of our Programs are Administered

By

West Coast Physicians Insurance Services

(888) 845-2856  Fax (641) 713-2093