Report a Medical Malpractice Claim/Suit

Please use this form to report any medical malpractice claims or suits.

It is important that you notify us of any lawsuits as soon as possible to ensure we meet the deadline to file an appearance on your behalf.

* = required field

NOTE: This claim reporting portal is to be used ONLY by the insured person/physician and/or their representative to report a third-party claim/lawsuit (or potential claim) to the insurance company covering the insured person/physician. *

I attest that I am the insured person/physician or a representative of the insured person/physician.

Date *

Contact Name *

Contact Phone *

Contact Email *

Matter Type *

Incident Date *

Insured Group Name (if applicable)

Insured Provider Name(s) (if applicable)

Name of Patient (if known)

Patient Medical Record Number (if known)

Patient Date of Birth (if known)

Description of Incident *

Upload Optional Documents (i.e., letter of representation, photographs, medical records, incident report, etc.)

Optional Document

reCAPTCHA *

Contact HHCISL

Coverage Questions

Sharon Daust-Deleeuw
Marsh Senior Vice President, HealthCare Practice
[email protected]
248.945.5328

Mike Kane
HHC Director of Insurance & Risk Financing
[email protected]
Office: 860.545.4841
Mobile: 860.227.4052

Medical Malpractice or Tail Insurance Quotes for Independent Physicians

Sharon Daust-Deleeuw
Marsh Senior Vice President, HealthCare Practice
[email protected]
248.945.5328

More Information

To Report an Incident or Something That Could Result in a Claim or Lawsuit

Risk Management
Tara DeGros
[email protected]
959.799.1588

To Report a Medical Malpractice Claim or Lawsuit

Report a Medical Malpractice Claim / Lawsuit

If you encounter any issues with the link, you may use the following email to report any claim or suit: [email protected]

For Additional Information Regarding Medical Malpractice/Lawsuits, Please Contact:

Chris Maiello
Associate General Counsel
[email protected]
Office: 860.545.3336
Mobile: 860.936.2053