North Carolina Policyholders: Notice to policyholders recently affected by severe weather. 

Business Insurance Quote Form

To receive a free quote, call toll free 800-769-2000, ext. 8180. Or fill in the information below. Information is required unless noted as optional. When finished, click the "Submit" button at the bottom of the page.

All fields marked with * are required.

Quote Selection

Select the product(s) for a quote:(Optional)

Contact Information

Please contact NCMIC to inquire about availability of coverage in Florida. 1-800-769-2000, ext 8180 or


Is your practice address the same as the mailing address?: *


Please contact NCMIC to inquire about availability of coverage in Florida. 1-800-769-2000, ext 8180 or

Practice Information

Practice Type: *


Do your business operations involve growing, storing, selling, dispensing, manufacturing/processing or otherwise providing access to medically-prescribed or recreational marijuana? *

Facility Information

Do you own the building? *

Building Info

Is building ownership the same as chiropractic business ownership? *

Building Construction: *


Year of last updates to: (Optional)

NCMIC provides the insurance quote based on replacement cost of contents. Please use a dollar amount based on what it would cost to replace the items today if purchased new.

Example: Flooring, walls, etc.

Coverage and Quote Information

Have you filed a claim for your office insurance in the last 5 years? *


Choose a liability coverage amount: *

Do you currently have Business Owners' Coverage? *


Do you have multiple practice locations? *

Other Locations An NCMIC insurance representative will contact you for information about your other locations.
Employee Information

Are owners/principals included? *

Have you had any workers' comp. claims in the past 5 years? *

Workers Comp
Patient Data Information

What patient information do you store electronically or on paper? (Check all that apply)*

Which of the following are in place on your business' computer systems? (Check all that apply) *

Which of the following are in place to safeguard personal information stored at your office? (Check all that apply) *


(maximum 2000 characters)

Once your completed information is received, a representative will contact you.

Questions? Call toll free at 1-800-769-2000, ext. 8180.

Customized Coverage Designed for Chiropractors and Naturopaths

Get a Quote

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