PROTECTING NATUROPATHIC PHYSICIANS

How to Apply

It's easy to do!

Ready to apply? You can take care of it right now; simply follow the steps below. You'll want to have the following information handy as you complete your application:

  • Licensure information – A copy of each active state license and certification you hold.
  • Previous/current insurance information – A copy of your current Declarations Page (if you are currently insured).
  • Payment information – Bank account or credit/debit card account information
  • Professional Entity/Corporation Coverage information– If you plan to add your entity to your malpractice policy, a copy of a declarations page (proof of insurance) for each licensed professional within your professional entity, as well as all licensed officers and/or directors, will be required.

1. Click below to select AND PRINT the correct application OR FORM:

Malpractice Insurance Applications

Other Forms

2. complete THE ENTIRE APPLICATION, READ THE FRAUD WARNING AND sign 

If you have any questions while completing the application, please call an NCMIC client representative at 1-800-769-2000, ext. 8198.

3. Send it to NCMIC:

Fax: 800-996-2642
Scan and email: submissions@ncmic.com
Mail: NCMIC Insurance Company
         PO Box 9118, Des Moines, IA 50306
 

GET A QUICK QUOTE

It's Fast & Easy!


OR CALL US

800-769-2000, ext. 8198

The NCMIC Naturopathic Malpractice Insurance Plan is offered through NCMIC Diversified Health RPG Assn. Coverage is underwritten by NCMIC Insurance Company, and is available in AK, AZ, CA, CO, CT, DC, HI, KS, MD, ME, MN, MT, ND, NH, OR, UT, VT and WA.

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