apply - Landing Page
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.

IMPORTANT: If you have already started an application or completed a previous application, click here to continue.
 
Login - Login Details
Application Identifier *
ECAP Risk Purchasing Group
Email Address *
Re-enter Email Address *
Are you a current MLMIC Insured or have you
submitted an application for Professional Liability
coverage with MLMIC that is pending?
Last Name *
License Number *
 
Login - Login Details - Button Group
 
Failed Attempt Message
 
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.