Apply For Coverage
Pick Your Application Type:
- Physician Application
- Advanced Healthcare Professional Application
- Business Entity (Group) Application
- Facility Application
- Additional Insured Application
You can also use our downloadable PDF application to fill-in or print, and once you have finished, either email it to micauw@mica-insurance.com or mail in.
MICA's Mailing Address: 2602 E Thomas Rd, Phoenix, AZ 85016.
If you have questions or need assistance with the application process, please call the MICA Team at 800-681-1840.