Apply for Malpractice Insurance with OMIC
OMIC simplifies the process of joining by providing applications tailored to your specific insurance needs. Please contact your local OMIC sales representative if this application does not match your needs.
Step 1: Download and Complete the Application
Supplemental forms may be necessary (e.g., ROP, Kentucky addendum, supplemental claims form).
All applications must be signed and dated. Digital signatures are accepted.
Physician Application
Employed Optometrist Application
Step 2: Submit Your Application
Once completed, email your application and all supporting documents to: omic@omic.com
Subject line: “New Application – [Your Name or Practice Name]”
Step 3: Application Review Process
Upon receipt of your application, our team will promptly review all submitted documents. You will receive a confirmation email, followed by a response within 1 business day.
Please contact your local OMIC sales representative if you have any questions along the way.