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Dental Support Organization (DSO)
Quote Request

Enterprise-scale coverage for your Dental Support Organization — tell us about your DSO and we’ll build a comprehensive insurance strategy across your entire network.

Coverage Selection

Select all that apply *

Please select at least one coverage type.

Organization Information

Please enter a date (MM/DD/YYYY).
Executive name is required.
A valid email address is required.
Phone number is required.

Preferred Method of Contact *

Please select at least one contact method.

Company legal name is required.
Please enter MM/YYYY.

Primary / HQ Address

Primary address is required.
City is required.
State required.
Zip code is required.

Mailing Address (if different from above)

Business Details

Do you own any buildings? (optional)

Standard Business Owner’s Policies Exclude Coverage for Losses Due to Floods & Earthquakes

Flood Insurance Quote? (optional)

Earthquake Insurance Quote? (optional)

Staff & Current Coverage

Group Professional Liability? (current)

Employee Health Insurance? (current)

401K or Pension Plan? (optional)

Vehicles in Organization Name? (optional)

Please note: the information upon which quotes are based is on the information you have provided. As this information could be subject to error, Insurance by Dentists cannot guarantee the correctness of the rates quoted.

This form is for proposal use only. An application is required for coverage, subject to underwriting review and approval.

* Required fields

Quote Request Submitted

Thank you — one of our Insurance by Dentists DSO specialists will review your information and be in touch with you shortly.