Apply For Coverage
Become an MIEC policyholder today!
Alternatively fill out one of the application forms below and email it to email@example.com.
PDF Application Quick Links
- Solo Physician
- Physician Joining an MIEC Covered Group
- Group Application (Medical Corporations and Partnerships)
Don’t see the application you’re looking for? Click here to see all our applications!
You may also call us at 800-227-4527 or email firstname.lastname@example.org to request an application by mail, fax or E-mail.