Applications and Forms

Our commitment to protecting and supporting our insureds while ensuring the long-term stability of the Kansas healthcare landscape makes us the top choice for medical liability coverage for Kansas physicians, healthcare providers, hospitals, and facilities.

physician filling out form in her office

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Higher Limits Coverage Applications

Physician and Surgeon Excess Liability Application

Application for physicians and surgeons to receive coverage above the limits included in the basic coverage policy.

Healthcare Facility Umbrella Coverage Application

Application for healthcare facilities to receive KAMMCO umbrella coverage.

License Defense Coverage Higher Limits Application

License defense coverage is included in individual KAMMCO policies. However, for only $250 per provider, an endorsement that covers defense costs up to five times higher than the embedded license defense coverage can be purchased. Use this application to apply for higher limits for license defense coverage.

Cyber Breach Higher Limits Application

Embedded cyber coverage is included in every KAMMCO policy.

Use this application if you're interested in increasing your cyber coverage limits. Our Cyber Security Coverage page has more information.

Additional Document Categories

New Business Applications

Policy Renewal Forms

Supplemental Forms and Applications

Need Assistance?

Email underwriting@kammco.com or call 1-800-232-2259.

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