Apply for Coverage with TMLT

You must be a member of the Texas Medical Association or have your membership application pending to apply for coverage. Apply for membership at the TMA website or contact the TMA at 800-880-1300 or 512-370-1300. Learn more about TMA membership.

Applications

For a faster turnaround, please complete the application online.

Individual application for coverage

This link will take you to myPortal. To apply, please create an account under “New User Registration – Individual.

Locum Tenens application

Moonlighting application

Volunteer application

Entity application

Resident/Fellow Training application

Questionnaires

If you perform any of these procedures, please submit the appropriate questionnaires with your application.

Additional Forms

HIPAA-HITECH Business Associate Agreement

An agreement required by federal law concerning necessary policies and procedures to assure the confidentiality of patient health information

EPLI Subscriber Agreement

Describes the terms of our employment practices liability insurance.