washington state JUA
Who Qualifies for Coverage
The Washington State Joint Underwriting Association (JUA) offers liability insurance to a specific set of practitioners and facilities engaged in midwifery care. Eligible applicants include:

Licensed Midwives (LMs)
- Must hold a current Washington State midwifery license
- Must be actively practicing within the state
- Coverage is available for solo midwives, midwives in group practices, and midwives working in home and/or birth center settings.
Certified Nurse-Midwives (CNMs)
- Must be licensed as an ARNP in Washington with certification as a CNM
- Must be providing care in home and/or freestanding birth center settings
- Hospital-based CNMs are not eligible for JUA coverage

Freestanding Birth Centers
- Must be licensed as a birth center in Washington State
- Must maintain appropriate staffing and credentials in accordance with WA DOH guidelines
- JUA coverage is intended for facilities offering birth services outside of the hospital setting
Note:
Coverage is not available for doulas, students, or unlicensed individuals.
All applicants are subject to review and must meet the JUA’s eligibility criteria.