To locate your application for individual coverage, please select your state of practice from the menu below. If you have any questions, see our Premium FAQs below.

For group practices, call (800) 245-3333, ext. 310 or visit our Group Applications page

For more information about The Program call (800) 245-3333, ext. 389 or use our online information request form.

Need coverage fast? Call (800) 245-3333, ext. 389.

Premium FAQs

Q. I am about to submit my completed application and I want to pay my premium in full without financing. When do I send in my payment?

A. The application includes a premium remittance form that will direct you to choose either full premium payment or financing. Please indicate that you wish to pay full premium and return the remittance form with your completed application. An invoice indicating your premium due will be sent to you upon underwriting approval of your application. Please note: your policy will not be considered active until the full payment is received. In the meantime, you can (800) 245-3333, ext. 389 to receive a premium quotation.

Q. Is premium financing available?

A. Yes. Premium financing is available through Imperial A.I. Credit Companies, Inc. (AIC), a national premium finance company with competitive finance rates. To qualify, your annual premium must equal at least $2000. If you choose to finance your annual premium no payment is due at the time your application is submitted. Please indicate on the Premium Remittance Form included with the application that you are interested in premium financing and return your completed application to:

The Psychiatrists' Program
c/o PRMS, Inc. Sales Department
1515 Wilson Boulevard, Suite 800
Arlington, VA 22209

Once your application has been underwritten you will receive a Premium Finance Agreement Disclosure Statement (PFA) outlining payment terms. This contract will include your specific payment information; therefore, please do not remit any payment until you have received the financing contract from our office.

Please sign and return the PFA with the required 20% down payment indicated on the contract. (Please note that coverage cannot be bound until your down payment premium and your signed finance contract are returned to our office.)

Q. What are my billing options through AIC?

A. AIC provides three ways for you to make payments:

• Monthly invoice: An invoice will be mailed to you 25 days prior to your due date, accompanied with a return envelope and AIC's lock box address.
  
• Coupon booklet: A pre-printed booklet will be mailed to you immediately with numbered coupons for each month your premiums are due.
  
• ACH Direct Debit: Once a month your installments will be deducted automatically from your checking account on the due date of your premiums. AIC will need a signed ACH agreement and a voided check.

The paperwork from AIC will provide instructions on how to choose one of these payment methods.