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Welcome to the MLMIC Insurance Company Rapid Application Portal
Please enter the following information to begin the application process. Please note all fields are required.
If you have already started an application, click
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Application Identifier *
CHS Physician Partners IPA, LLC
Email Address *
Re-enter Email Address *
Are you a current MLMIC insured?
Last Name *
License Number *
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Please note that any mention of "Medical Liability Mutual Insurance Company" contained herein, either verbal or in writing, are now referring to MLMIC Insurance Company.
If you have any questions throughout this process please contact: