Apply with MICA

To apply directly with MICA, you can call a MICA marketing representative to answer questions and discuss coverages tailored to your practice at 800-681-1840. Or you may download one of the following applications and submit via email or mail.

+Individual Physician Application
+Advanced Healthcare Professional Application – CNM, CRNA, NP or PA
+Business Entity (Group) Application
+Facility Application

To submit your completed application, choose one of the following options:

If you would prefer to work with one of our broker partners, please click here to find one in your area.