Join Program

Insurance Coverage under the HHCISL Independent Physician program is available only upon submission of one of the completed applications found below.

Please note that this submission must include a loss run from the previous insurer for the previous five (5) years of coverage.

Completed applications and a five (5) year claims history should be submitted electronically to Sharon.Daust-Deleeuw@marsh.com at least 30 days before coverage is desired.  The policy period is from January 1st through December 31st each year, however, applicants can be added to the coverage throughout the policy year.

Independent Physician Application

Physician Extender Application (PA's, APRN's, etc.)

*HHCISL reserves the right to deny any applicant’s request for coverage.  Applications are to be completed for each individual physician and physician extender.

       

 

More information

Applications are to be completed for each individual physician and physician extender. 

If you are a large group (over 10+), please email Sharon.Daust-Deleeuw@marsh.com to discuss an alternative application process.


Contact HHCISL