Apply

You must be a member of the Texas Medical Association or have your membership application pending in order to apply for coverage. You can 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

Please create an account under "New User Registration — Individual" to apply.

PRINTABLE APPLICATIONS (PDF)

Information entered into PDF applications cannot be saved. You must print, sign, and return (by email, fax or mail) the completed application to TMLT.

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.