Professional liability Insurances form

---
title: Professional liability Insurances form
description: Access, update, and validate the Professional liability Insurance details of a healthcare professional in the Professional liability form.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/employee-service-management/hr-service-delivery-for-healthcare/hr-prof-liab.html
release: brazil
product: HR Service Delivery for Healthcare
classification: hr-service-delivery-for-healthcare
topic_type: reference
last_updated: "2026-09-10"
reading_time_minutes: 3
breadcrumb: [HR Service Delivery for Healthcare reference, HR Service Delivery for Healthcare, HR Service Delivery, Employee Service Management]
---

# Professional liability Insurances form

Access, update, and validate the Professional liability Insurance details of a healthcare professional in the Professional liability form.

<table id="table_l3d_s5j_jbc"><thead><tr><th>

Field

</th><th>

Description

</th></tr></thead><tbody><tr><td>

Professional Profile

</td><td>

Professional profile of the healthcare professional.

</td></tr><tr><td>

Carrier name

</td><td>

Name of the company providing the professional liability insurance to the healthcare professional.

</td></tr><tr><td>

Policy name

</td><td>

Policy number issued by the company offering the professional liability insurance.

</td></tr><tr><td>

Effective date

</td><td>

Current effective date as per last enrolment.

</td></tr><tr><td>

Original effective date

</td><td>

Effective date on first purchase or enrolment of policy.

</td></tr><tr><td>

Expiration date

</td><td>

Date on which the professional liability insurance ends.

</td></tr><tr><td>

Coverage type

</td><td>

Type of professional liability insurance taken: Individual or Shared

</td></tr><tr><td>

Amount coverage per occurrence

</td><td>

Amount paid by insurer for claims submitted under one occurrence.

</td></tr><tr><td>

Aggregate coverage amount

</td><td>

Maximum amount that will be paid by the insurer for claims submitted for a set period of time.

</td></tr><tr><td>

Active

</td><td>

Option to make the professional liability insurance record available to workflows and teams.

</td></tr><tr><td>

Is current

</td><td>

Option to indicate that the professional liability insurance is currently active and enrolled in.

</td></tr><tr><td>

Is self insured

</td><td>

Option to indicate that the healthcare professional has reserved some amount of personal money to be used as liability insurance.

</td></tr><tr><td>

Unlimited coverage

</td><td>

Option to indicate that unlimited coverage is given for the policy taken from the insurer.

</td></tr><tr><td>

Status

</td><td>

Status of the professional liability insurance record: -   New: When profile intake form is sent to the healthcare professional for filling.
-   Pending validation: When data is filled in by healthcare professional and sent for credentialing and validation to HR agents.
-   Invalid: When HR agents review the data and reject due to insufficient or invalid details.
-   Valid: When HR agents validate and approve the information provided by the healthcare professional.

</td></tr><tr><td>

Insurer address

</td><td>

Address of the company from which the professional liability insurance is taken by the healthcare professional.

</td></tr><tr><td>

Insurer city

</td><td>

City in which insurer office is located.

</td></tr><tr><td>

Insurer state/province

</td><td>

State in which insurer office is located.

</td></tr><tr><td>

Insurer zip/postal code

</td><td>

Postal code of area in which insurer office is located.

</td></tr><tr><td>

Insurer country

</td><td>

Country in which insurer office is located.

</td></tr></tbody>
</table>**Parent Topic:**[HR Service Delivery for Healthcare reference](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/brazil/markdown/employee-service-management/hr-service-delivery-for-healthcare/reference-hr-healthcare.md)

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