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Apply for Malpractice Insurance with OMIC

Apply now to access specialized support and resources for ophthalmologists and their practices.

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.
 

Electronic Applications for New Business, Finish / View a New Application, or Complete a Renewal Application: