apply - Landing Page
Welcome to the MLMIC Insurance Company Rapid Application Portal
Please enter the following information to begin the application process. Please note all fields are required.

IMPORTANT: Click here if you have already started an application or completed a previous application.
 
Login - Login Details
Application Identifier *
CDPHP Purchasing Group
Email Address *
Re-enter Email Address *
Are you a current MLMIC Insured or have you
submitted an application for Professional Liability
coverage with MLMIC that is pending?
Last Name *
License Number *
 
Login - Login Details - Button Group
 
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Please note that any mention of "Medical Liability Mutual Insurance Company" contained herein, either verbal or in writing, are now referring to MLMIC Insurance Company.