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: If you have already started an application or completed a previous application, click
Login - Login Details
Application Identifier *
CHS Physician Partners IPA, LLC
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 *
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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.
If you have any questions throughout this process please contact: