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For account information on products not listed above, Contact Us by email or at 800-769-2000, ext. 4200
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.
Select the product(s) for a quote:(Optional)
Please contact NCMIC to inquire about availability of coverage in Florida. 1-800-769-2000, ext 8180 or agents@ncmic.com.
Is your practice address the same as the mailing address?: *
Practice Type: *
Do your business operations involve growing, storing, selling, dispensing, manufacturing/processing or otherwise providing access to medically-prescribed or recreational marijuana? *
Do you own the building? *
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.
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? *
Are owners/principals included? *
Have you had any workers' comp. claims in the past 5 years? *
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.
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