MICA offers Medical Professional Liability on a direct basis. If you would prefer to work with one of our broker partners, please click here to find one in your area. There are 4 ways to apply for coverage with MICA directly:

• Apply online. Click here to get started.
• Apply by email. Download application, complete, and email to micauw@mica-insurance.com
• Apply by mail. Download application, complete, and mail to 2602 E Thomas Rd, Phoenix, AZ 85016.
• Apply by fax. Download application, complete, and fax to 602-627-7033.

If you are applying by email, mail or fax, select your coverage type and click on the link(s) below to download the application.