If you are an OMIC-insured (ophthalmologist, employed optometrist, employed CRNA,
    or ancillary personnel), please enter your LAST NAME ONLY, and CLIENT ID (Risk Number)*
    as stated on the declarations page of your OMIC policy.

    If you are an entity, please enter the FULL NAME of the entity and the CLIENT
    ID (Risk Number)* as found on the declarations page of your OMIC policy.

    Insured Name (Last Name if individual, or full entity name)
    
    Client ID / Risk Number--Example: CT45670--

     * Your Client ID or Risk Number is four to seven characters and is not your "policynumber".
    If you cannot find your RISK NUMBER, please e-mail your name to
    underwriting@omic.com or call your underwriting representative
    at (800) 562-6642 and we will provide it to you.