If you are a Texas physician requesting coverage, please go to our TMLT website at http:\\

If you are a physician working outside of Texas, please go to the Lonestar Alliance website at http:\\

Individual application — Allied Health Care Professional

Please complete this online application for coverage. Once the application is submitted, the document will be sent to our team to start the review. We will be in touch with any questions.

Telemedicine Questionnaire 
If you practice involves telemedicine, please submit this questionnaire with your application.

Chiropractic Questionnaire 
If you are a chiroprator, please submit this questionnaire with your application.

Nurse Midwife Questionnaire 
If you are a nurse midwife, please submit this questionnaire with your application.

Podiatry Questionnaire 
If you are a podiatrist, please submit this questionnaire with your application.

HIPAA-HITECH Business Associate Agreement
An agreement required by federal law concerning necessary policies and procedures to assure the confidentiality of patient health information.

Find An Agent

TMIC works with a number of preferred agency partners:

Archibald & Associates, Inc.
Ken Archibald
510 Turtle Cove Ste 102
Houston, Texas 77075
(800) 634-9513 ext. 424

Arthur J. Gallagher
Donovan Weger
8511 South Houston Parkway East, Suite 200
Rockwall, TX 75087
(800) 460-4101 ext. 102

Bank of San Antonio Insurance Group
Katy Brooks
8000 IH-10 West, Suite 1100
San Antonio, TX 78230
(210) 807-5592

Bergfeld Agency, LLC
Brad Bergfeld
2001 S. Donnybrook
Tyler, TX 75701
(903) 592-7347

Bill Sweet and Associates, LLC
Cheryl Sweet Westman
P.O. Box 8509
Horseshoe Bay, TX 78657
(210) 325-7269
Fax: 830-228-5511

Coverica, Inc.
Jim Patterson
5999 Summerside Drive, Suite 200
Dallas, TX 75252

Frost Insurance Agency
Dennis Northington
401 S. Congress, 14th Floor
Austin, Texas 78701

Healthcare Liability Solutions Inc.
Denise Barnes
840 Gessner, Suite 1825
Houston, Texas 77024
(713) 343-5000

HealthSure Insurance Services, Inc
Brant Couch
5900 Southwest Parkway, Building 2 Suite 200
Austin, TX 78735
(512) 292-3315

Higginbotham & Associates
Curtis Page
1221 S. Mopac Expressway, Suite 160
Austin, TX 78746
(512) 457-4013

The Hilb Group
Brian Dames
135 W. Adams Avenue
St. Louis, MO 63122

Holmes Murphy & Associates
Tommy Saxon
12712 Park Central Drive, Suite 100
Dallas Texas 75251
(214) 724-0081

Insurance Office of America, Inc.
Linda Jacobson
4008 Louetta Rd, Suite 550
Spring, Texas 77388
(281) 872-5000

JDM & Associates
John McCann
1963-A Village Green Way
Tallahassee, FL 32308
(866) 278-3384

Lockton Companies, LLC
Peggy Opp
444 W. 47th Street, Suite 900
Kansas City, MO 64112-1906

Medical Professional Liability Underwriting Solutions, LLC (MedPLUS)
Dennis Borne
PO Box 1305
Richmond, TX 77406
(713) 995-1842

NCW Insurance
Cliff Craig
15 Medical Drive
Amarillo, TX 79106
(806) 376-6301

Sanford & Tatum Insurance Agency
Diannah Tatum
5241 98th St.
Lubbock, TX 79424

Texas Insurance Managers
Allan Brumley
410 E. Harrison
Harlingen, TX 78550
(956) 423-6986

Pamela Wilson
9800 Fredericksburg Rd
San Antonio, TX 78288
(210) 456-9531

USI Houston
Jeffrey S. Levy
Three Memorial City 840 Gessner, Suite 600
Houston, TX 77024
(713) 490-4560

USI San Antonio
Joe Minihan
7550 IH-10 West, Suite 700
San Antonio, TX 78229
(210) 366-0671