Professional Liability coverage is available upon application for University of Alaska students involved in internship or practicum situations. This coverage is available for a wide variety of specialties, a list of which can be found under the Field of Study drop down list on the application form (see below). This an occurrence policy and it pays up to a total of $1,000,000 per claim and $5,000,000 maximum per policy year. (University of Alaska employees are automatically covered for professional liability and need not apply for this coverage.)  The annual premium is $12.35 per student.

University of Alaska students may apply for this coverage through their departments. Departments should complete the form below.  If you would like insurance coverage for a course that does not appear on the list of specialties on the application form, please contact the System Office of Risk Services, in Fairbanks.

This program is not available to students training to be physicians, dentists, nurse anesthetists, nurse midwives, chiropractors, or podiatrists.  Also you are not covered for the administration or the operation of motor-driven vehicles.  Coverage terminates upon graduation, if graduation occurs before the policy term expires.

Please fill out the following application for Student Professional Liability Insurance.  All blocks are mandatory!  Incomplete applications will not be accepted.  Separate applications must be submitted for each field of study.  Applications cannot have coverage dates prior to the submission date.

COVERAGE WILL BECOME EFFECTIVE FOLLOWING THE ONLINE SUBMISSION OF YOUR ACCEPTABLE APPLICATION.  PLEASE PROCESS YOUR REQUEST FOR INSURANCE TO THE SYSTEM OFFICE OF RISK SERVICES IN ADVANCE OF COVERAGE EFFECTIVE DATE.  YOUR APPLICATION CANNOT BE PROCESSED OR SUBMITTED UNLESS IT IS COMPLETED IN ITS ENTIRETY. 

You will receive an email confirmation that your application has been received.