How to report an incident or claim

Reporting an event or claim is quick and uncomplicated

Our online form takes only minutes to complete, and in seconds the form goes directly to our claim services staff. You receive an email confirmation, usually within minutes, and, if you've requested a call back or other assistance, expect to receive a call or email within two business days. Most often you will hear much sooner.

When to Report

Report a claim in any of the following instances:

  • Legal action
  • You are served with a lawsuit.
  • You receive a letter from an attorney stating that they are making a claim on behalf of a patient against a physician, hospital or facility.
  • You are contacted by a licensing board or regulatory agency stating they are starting an investigation.
  • Adverse event
  • There is an unexpected outcome resulting in injury to the patient.
  • A birth results in injury or death of the infant or mother.
    (In this instance, you may want to consider preserving the placenta for future testing.)
  • A failed medical device results in patient injury.
    (Be sure to secure the defective device for future testing. Do not send the device back to the manufacturer for testing until you consult with us.)
  • Injuries or damage to property or data
  • A data breach involving a patient’s personal protected health information has occurred.
  • If we insure your premises for general liability, notify us of any reported injuries or property damage that occur on the premises.

How to report an incident or claim

Submit your form through the "Report an incident or claim" link below. Once you submit your form, you will receive an email confirmation.

If you have an existing account, please Sign in to your MMIC Account.

Need help submitting a incident or claim?

Contact us at 1-800-328-5532 or email This email address is being protected from spambots. You need JavaScript enabled to view it..

If your agent or broker has asked that you contacted him or her before reporting an incident or claim, please do so for assistance in submitting an online form.

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