Applications and Forms

Letter announcing Advocate, MD acquisition of the MMAP program sent to all MMAP Insureds, Click Here

Applications:

Please browse the following list of applications to determine which one best meets your needs. All applications must be completed in their entirety.

Any application questions may be directed to Martie Weber at (888) 239-2501

Physician:

Standard and MMAP Application

Renewal Questionnaire

Hospital:

MMAP Application

Renewal MMAP Application

Paramedical:

MMAP Application

Renewal Paramedical Application

Locum Tenens:

MMAP Application

Memorandum to All MMAP Plan Members

Memorandum issued to all Mississippi Medical Malpractice Plan Insureds

Claim Release Authorization

The claim release authorization is required when requesting claim history and/or loss runs for certification. MMAP Claim Release Authorization