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SEMPRIS

My SEMPRIS Quote

  • 1

    Your Details

  • Your Details

  • 2

    Professional History

  • 3

    Claims and Incidents

  • 4

    Practice Profile

  • 5

    Financial Information

  • 6

    Your Current Indemnity

  • 7

    Your Quote

@Title

Please note, in order to successfully apply, you will need the following information:

  • Your estimated and actual income from your independent practice (excluding medical legal report writing) medico-legal report writing.
  • The number of sessions you perform, split between consultations and surgical work.
  • An approximate split of your surgical work between minor, intermediate and major procedures.

You are responsible for making, after reasonable search, a Fair Presentation, in a clear and accessible manner, of all important and relevant information, at least sufficient to put a prudent insurer on notice to make enquiries and not to make any misrepresentations as required by the Insurance Act 2015. A Fair Presentation is required in order for a reasonable insurer to decide whether to provide insurance or not and, if so, the terms and conditions of such insurance. The use of an application or proposal form supplied by insurers or Paragon does not relieve or reduce your responsibility to make a Fair Presentation of important and relevant information in a clear and accurate manner. If you do not make a Fair Presentation, then insurers may be able to:

  • void the policy and provide no coverage with no return of premium.
  • amend the terms of the insurance placement to exclude coverage under the policy.
  • reduce the value of claims to be paid.
  • charge you additional premium.

Your obligation to keep information up to date is on-going and therefore we ask that you advise us as soon as possible of any changes in respect of any of the information you have provided, so that we can pass such changes onto insurers for their acceptance or otherwise.

Policy start date

RequiredDate must be between 01/01/1800 and 31/12/2099 (inclusive)Invalid dateYour cover start date must be within the next 60 days, or the past 14 days.

Your details

Required
Required
RequiredYour first name cannot be more than 40 characters
RequiredYour surname cannot be more than 100 characters

Your full postcode including any spaces.

Please select one of the following addresses:

place
RequiredInvalid postcode
RequiredMaximum length of 160
Maximum length of 160
Maximum length of 160
RequiredMaximum length of 160
Maximum length of 160

We will send you logon details and a password to this address. This will allow you to retrieve your quote / policy documents at a later stage.

RequiredInvalid email addressMaximum Length of 60 characters
RequiredInvalid telephone numberMaximum Length of 60 characters
RequiredInvalid telephone numberMaximum Length of 60 characters
RequiredDate must be between 01/01/1800 and 31/12/2099 (inclusive)Invalid dateInvalid date
RequiredMaximum Length of 50 characters

Need to speak to us?

phone 0208 652 9018

membership@sempris.co.uk

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SEMPRIS is a trading name of Health Partners Europe Ltd which is authorised and regulated by the Financial Conduct Authority Registered in England No: 2865636 | Registered office: Haines Watts, Northside House, Tweedy Road, Bromley, Kent, BR1 3WA | VAT number: 628402646 © Health Partners Europe Ltd 2011. The concepts contained in this presentation are the property of Health Partners Europe Ltd (‘HPE’). Duplication or dissemination of the information without the express written consent of HPE is prohibited.

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