--- sourceDocument: Brazil Employee Service Management sourceDocumentLink: https://www.servicenow.com/docs/r/employee-service-management Release : - brazil ft:locale : - en-US ft:publication_title : - Brazil Employee Service Management ft:clusterId : - emplsm bundleId : - emplsm workflow : - Employee --- # Professional liability Insurances form # Professional liability Insurances form {#ariaid-title1} Release version: Brazil Updated September 10, 2026 ![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 minute to read Access, update, and validate the Professional liability Insurance details of a healthcare professional in the Professional liability form. {#hr-prof-liab__table_l3d_s5j_jbc__entry__2} | Field | Description | |-|-| | Professional Profile | Professional profile of the healthcare professional. | | Carrier name | Name of the company providing the professional liability insurance to the healthcare professional. | | Policy name | Policy number issued by the company offering the professional liability insurance. | | Effective date | Current effective date as per last enrolment. | | Original effective date | Effective date on first purchase or enrolment of policy. | | Expiration date | Date on which the professional liability insurance ends. | | Coverage type | Type of professional liability insurance taken: Individual or Shared | | Amount coverage per occurrence | Amount paid by insurer for claims submitted under one occurrence. | | Aggregate coverage amount | Maximum amount that will be paid by the insurer for claims submitted for a set period of time. | | Active | Option to make the professional liability insurance record available to workflows and teams. | | Is current | Option to indicate that the professional liability insurance is currently active and enrolled in. | | Is self insured | Option to indicate that the healthcare professional has reserved some amount of personal money to be used as liability insurance. | | Unlimited coverage | Option to indicate that unlimited coverage is given for the policy taken from the insurer. | | Status | 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. {#hr-prof-liab__ul_cnc_gxx_pbc} | | Insurer address | Address of the company from which the professional liability insurance is taken by the healthcare professional. | | Insurer city | City in which insurer office is located. | | Insurer state/province | State in which insurer office is located. | | Insurer zip/postal code | Postal code of area in which insurer office is located. | | Insurer country | Country in which insurer office is located. | [Table 1. Professional Liability Insurance form] {#hr-prof-liab__table_l3d_s5j_jbc} **Related reference** * [Installed with HR Service Delivery for Healthcare](https://www.servicenow.com/docs/w22iR_uWCp2qfMYvoiyvpw "Several types of components are installed with activation of the HR Service Delivery for Healthcare plugin, including tables and user roles.") * [Healthcare professional profile form](https://www.servicenow.com/docs/lCTd6653mHQLFznlcGSqyw "Access and update confidential HR data for a healthcare professional. This includes name, personal contact information, email addresses, professional liability insurance details, and medical degree.") * [Professional ID form](https://www.servicenow.com/docs/PumIEPUlQesuFvCzO1OgLw "Access, update, and validate the Professional ID details of a healthcare professional in the Professional ID form.") * [Professional reference form](https://www.servicenow.com/docs/N2G~vMxrwvhFfpTel5CMhQ "Access and validate the Professional reference details of a healthcare professional in the Professional reference form.") * [Professional speciality form](https://www.servicenow.com/docs/usIsbkE4uLdNdyTFhSoxVg "Review and update the Professional speciality details of a healthcare professional in the Professional speciality form.") * [Malpractice history form](https://www.servicenow.com/docs/jSirHfpIF79PNrDPiJs7Dg "Access, update, and validate the Malpractice history details of a healthcare professional in the Malpractice history form.") * [Education and Training form](https://www.servicenow.com/docs/o5DozhlibaqkW7C2gEx5NQ "Access, update and validate the Education and training details of a healthcare professional in the Education and training form.") * [Practice location form](https://www.servicenow.com/docs/EFh9ruHfRy0~b~~J9blZBA "Access, update, and validate the practice location details of a healthcare professional in the Practice location form.") * [Employment history form](https://www.servicenow.com/docs/hq_4MK~4AizKwd8eOUrFoA "Access, update, and validate the Employment history details of a healthcare professional in the Employment history form.") * [Languages Spoken form](https://www.servicenow.com/docs/iANMZm5evBrm4xNAqqThug "Access, update, and validate the language details of a healthcare professional in the Languages form.") * [Hospital Affiliations form](https://www.servicenow.com/docs/AkH5g8_0QOdgIDb1sDeZzA "Access, review and validate the Hospital Affiliation details of a healthcare professional in the Hospital Affiliations form.") * [Payers Enrollment form](https://www.servicenow.com/docs/sN4mSD~_0hyuEhUCF0M6xA "Access, review and validate the Payers Enrollment details of a healthcare professional in the Payer enrollment form.") * [Healthcare Employee Onboarding form](https://www.servicenow.com/docs/fdwmtlNZLLVSjoc4GNc1rg "A hiring agent or a manager places an onboarding request for a healthcare professional via the Healthcare Employee onboarding form in Employee Center.")