PENNSYLVANIA BAR ASSOCIATION MEMBER BENEFITS

WELCOME TO THE PENNSYLVANIA BAR ASSOCIATION’S CONTINUING LEGAL EDUCATION PROGRAMS USI Affinity is pleased to provide an additional benefit for your participation in this program. Simply complete the information form below to qualify for the 7.5% risk management credit per lawyer on your next CNA Lawyers’ Professional Liability Insurance renewal, endorsed by the PBA. The credit is applied at the next renewal date and is good for two consecutive policy terms. To receive credit, return this form to [email protected].

Name Attorney ID Firm Name

Address City State Zip

Telephone Fax

Signature Date

Email Address

USI Affinity can help meet your insurance needs with a wide array of products and services. For more information on any of these, or others, please check the boxes below and you will be contacted with more information.

Professional Liability Individual Plans Group Plans Property & Casualty Plans

Lawyers’ Professional Liability Term Life Medical/Health Insurance Office Property/General Liability Disability Income Term Life Workers Compensation Medical Insurance Disability Income Crime / Employee Theft Long Term Care Group Long Term Care Management Liability Pet Insurance Employment Practices Liability Dental & Vision Insurance Kidnap & Ransom Auto, Homeowners & Renters Insurance Cyber Liability Student Loan Refinancing Fiduciary Liability Business Overhead Expense

This discount is not applicable to policyholders insured under the Part-time Lawyers Professional Liability Insurance Policy. The discount will be applied only to the policy renewal which follows this program. Existing quotations or policies will not be reissued.

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