Welcome to the Washington State Joint Underwriting Association (JUA)

We provide professional liability insurance and risk management resources for licensed midwives (LMs), certified nurse-midwives (CNMs) and freestanding birth centers in Washington State.

Established under state law, the JUA ensures that qualified providers have access to coverage that supports safe, community-based maternity care.

Information for Policyholders

Learn who qualifies for coverage, how to apply or renew, and what to expect as a policyholder with the JUA. Whether you’re a licensed midwife or birth center owner, this page outlines everything you need to know about eligibility, premiums, and maintaining your policy.


Report an Incident

Report a clinical incident or potential claim quickly and securely. This page explains what to do, who to contact, and how to complete the necessary forms to begin the claims process.


Risk Management Resources

Access tools and guidance to help reduce risk and support safe, effective midwifery care. Find reporting templates, educational materials, and practical tips curated for JUA policyholders.


Have Questions About Coverage, Claims, or Eligibility?

We’re here to help. Reach out to the JUA for assistance or more information.