Inservco - Need a Quote?

For a claims management quote on your self-insured program, fill out and submit the following:

For a quote on the type of claims you would like us to manage, please provide an average number of claims for your last 3 years claims experience.

Average Number of Medical Only Claims:

Average Number of Indemnity Claims:

Average Number of General Liability Claims:

Average Number of Auto Claims:

Average Number of Public Officials Claims:

Average Number of Police Claims:

Average Number of Employment Law Claims:

Check here if the claims number you provided above was based on less than three years.

Current Number of Open Claims:

Would you like a quote on our other services?
	Safety Management
	Managed Care
	Risk Management
	Other

* Inservco's final quote will be based on actual receipt of loss runs.


For more information, contact:

Daniel Reed - medical professional liability PO Box 1545 2 North Second Street Harrisburg, PA 17101 (717) 230-8300 x4034 (800) 356-0438 x4034 (717) 221-6060 (fax) dreed@pnat.com (email)	Jim Owens - workers compensation, general liability, auto, property and professional liability PO Box 1545 2 North Second Street Harrisburg, PA 17101 (717) 230-8300 x4014 (800) 356-0438 x4014 (717) 221-6060 (fax) jowens@pnat.com (email)