*The Herbert H. Landy Insurance Agency of Needham, Massachusetts announces its appointment as State

Coordinator in New England for Lawyers Professional Liability insurance by Darwin National Assurance

Company. The Landy Agency has been a national leader in providing professional liability insurance since 1962

and offers professional insurance services directly to clients as well as through a national network of insurance

producers. Darwin National Assurance Company is affiliated with Allied World Assurance Company and

provides professional liability insurance to Lawyers on a national basis through its’ appointed State

Coordinators.

 

Partnering with Darwin National Assurance Company allows the Landy Agency to offer expanded coverage

opportunities to new and existing clients and to its’ affiliated professional groups, including specialty and

regional Bar Associations, as well as to insurance producers specializing in Lawyers Professional Liability

insurance. Betsy A. Magnuson, President of the Herbert H. Landy Insurance Agency comments, “We have a

long standing history of partnering with many of the leading providers of professional liability insurance. We are excited about our regional appointment with Darwin and the new opportunities it will bring to both new and existing clients.”  Darwin National Assurance Company’s Lawyers Professional Liability insurance, offered through the Herbert H. Landy Insurance Agency, is available on an admitted basis for law practices of 1-25 attorneys and includes Risk Management services. Non-admitted coverage for hard-to-place risks is also available from a subsidiary, Darwin Select Insurance Company.

For more information, contact John Torvi, Director of Marketing & Sales at the Herbert H. Landy Insurance Agency at 781-292-5417 or at johnt@landy.com. Visit us on the web at www.landy.com.

The Herbert H. Landy Insurance Agency Has Been Appointed State Coordinator In All New England States By Darwin National Assurance Company For Lawyers Professional Liability Insurance.  *

 

Professional Liability Insurance Indication Questionnaire

for Essex County Bar Association Members.

 

Fax to John Torvi @ 781.449.7908 or email johnt@landy.com

 

Firm Information

 

Name _____________________________________________

Address ___________________________________________

City ______________________St____ Zip Code __________

Tel #   (      ) ____________ Fax #  (       )  ________________

E-Mail _________________________

Date the firm was Established ____/____/____

 

Estimated annual gross income: $________________________

 

A.   Number of Attorneys “ Of Counsel”: ________ 
B.   Number of Support Staff  _____

Number of Attorneys

Years of experience

     Attorneys

5 + Years

 

4+ Years

 

3+ Years

 

2+ Years

 

1+ Year

 

Less than 6 months

 

Total

 

Internal Controls: Do you maintain a Docket Control system with at least two independent date controls?

Yes No

 

Is a Conflict of Interest System maintained?

Yes No

Are engagement letters used on a regular basis?

Yes No

 

Has any member of the applicant firm been refused

admission to practice, disbarred, suspended,

reprimanded, sanctioned, or held in contempt by the

court administrative agency or regulatory body?

If “YES”, please provide details.

 

Yes No

 

 

 

 

Claim History Are you aware of any claims against your firm or any incidents that could result in a claim against your firm within the past five years?

If “YES”, how many? ________

Please provide details of each claim or incident, including a description of the allegations, current reserve and/or indemnity.

 

 

Yes No

Number of hours worked on behalf of your firm?

________

Current Insurance

Insurance Company _______________________________

Policy Effective/Expiration Date ____/____/____

Retroactive/Prior Acts Date        ____/____/____

Policy Limits $______________________

Deductible $    _____________________

Date of first continuous claims-made coverage ____/____/____

This is not an Insurance Binder. The information provided on this form will be used to provide a premium indication. Final premium will be subject to the completion of an application.

Herbert H. Landy Insurance Agency, 75 Second Ave, Needham MA 02494.  Call 781.292.5417 or visit our website @ www.landy.com.

 

 

Area of Practice Percentage

(Must total 100%)

Administration

_____%

Admiralty/Maritime

_____%

Antitrust/Trade Regulation

_____%

Arbitration/Mediation

_____%

Banking/Financial Institutions

_____%

Bankruptcy

_____%

BI/PI Defense

_____%

BI/PI Plaintiff

_____%

Civil Rights/Discrimination

_____%

Collection/Repossession

_____%

Communication/FCC

_____%

Copyright/Trademark

_____%

Corporate-Formation

_____%

Corporate-General

_____%

Criminal

_____%

Domestic Relations/Family

_____%

Employee Benefits

_____%

Entertainment/Sports

_____%

Environmental

_____%

Estates/Probate/Wills/Trusts

_____%

Foreign/International

_____%

Healthcare

_____%

Insurance

_____%

Investments/Money Mgmt

_____%

Labor Law/Management

_____%

Labor Law/Union

_____%

Mergers & Acquisitions

_____%

Municipal

_____%

Oil/Gas/Minerals

_____%

Patent

_____%

Public Utilities

_____%

Real Estate/Commercial

_____%

Real Estate/Residential

_____%

School Law

_____%

Securities

_____%

Social Security/Elder Law

_____%

Tax/Corporate

_____%

Tax/Individual

_____%

Water Rights

______%

Work Comp/Defense

_____%

Work Comp/Plaintiff

_____%

Other (describe):

_____%

Total

 100%

 

_______

 

 

 

How many attorneys have participated in CLE during the

past twelve months?

 

____