COVID-19: See how MLMIC is supporting the Medical community. . Vaccine Resources. Search WHY MLMIC ‹ Back to Services and Resources Request a Certificate of Insurance, Claim History, or Declarations Page 1. Complete the Customer Service Department (CSD) Request Form, indicating items desired. CSD-Request Form 2. Submit your completed Request Form and respective signed authorizations, as required, to our Customer Service Department utilizing one of the following options: Fax to: (212) 300-9388 Scan and email to: CSD@mlmic.com NEW! Take a picture of the documents with your mobile device and email them to us at: CSD@mlmic.com REQUEST A QUOTE About MLMIC Annual Report Ask a Specialist Careers Contact MLMIC Document Request Medical Malpractice Insurance Cost APPLY NOW MLMIC Home Page MLMIC Insider Payment Information Professional Societies & Associations Report a Claim Stress Resource Center Download the MLMIC Insurance Company mobile app today! RATED A+ BY A.M. BEST PROUDLY ENDORSED BY MORE THAN 70 STATE, COUNTY MEDICAL AND SPECIALTY SOCIETIES Copyright © 2021 MLMIC Insurance Company. All rights reserved. All references to MLMIC refer to MLMIC Insurance Company, Two Park Avenue, New York, NY 10016. Apple and the Apple Logo are registered trademarks of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. Privacy Policy Terms & Conditions

Welcome, Corinthian Medical IPA providers! SAVE 10% ON MLMIC MALPRACTICE INSURANCE. APPLY NOW Corinthian Medical IPA and MLMIC Insurance Company are partnering together to help bring New York’s #1 medical liability insurance to a network of approximately 1,200 physicians. This is a unique opportunity for qualifying members to get the highest quality liability insurance at an even lower cost – thanks to an exclusive 10% discount offered to Corinthian Medical IPA providers. POLICYHOLDERS ALSO GET ACCESS TO EXTRA BENEFITS AT NO ADDITIONAL COST: MLMIC ANALYTICS Exclusive claims and adverse event analysis services. MLMIC RISK PROTECT Proactive risk management services. MLMIC CME+ 24/7 access to a growing series of cutting-edge CME programs – viewable in any format on any device. MLMIC LEGAL 24/7 Anytime access to experienced, knowledgeable healthcare attorneys. Have Questions? Please email or call Gabrielle Lamb at (888) 580-0094. SAVE EVEN MORE Corinthian Medical IPA providers who are also MLMIC policyholders may qualify for a variety of additional discounts as well, including: 7.5% – 12% Claims Free Discount 5% Risk Management Course Discount 5% No-Consent Option Discount 2% Annual Prepay Discount SEE WHAT CORINTHIAN MEDICAL IPA AND MLMIC CAN DO FOR YOU! APPLY NOW For more information on PriMed Consulting, the program administrator, please visit primedconsulting.com. The RPG discount amount is reviewed annually and is subject to upward or downward adjustment (including removal altogether) pending approval by the NYS Department of Financial Services, and is based on the overall loss experience of the RPG’s members. Copyright © 2021 MLMIC Insurance Company. All rights reserved. All references to MLMIC refer to MLMIC Insurance Company, Two Park Avenue, New York, NY 10016.