Current Participant Program Changes

Adding New Hires (New Providers) to the Program

New hires joining a practice currently participating in the Hartford HealthCare Independent Physician Program can complete the application below to be included in the program.

Please send completed applications and five-year loss history documents to Sharon.L.Daust-DeLeeuw@marsh.com for review.

Download Independent Physician Application (DOC)

Download Advanced Practice Provider / Physician Extender Application (PDF)

Changes in Coverage Limits

Requests for changes in coverage limits can only be completed at the time of renewal. Please indicate the desired coverage amount in the renewal application at that time.

Changes in Employment Status

Please notify your practice group manager or Sharon.L.Daust-DeLeeuw@marsh.com of any changes in employment status, such as full-time to part-time transitions or leaves of absence.

Locum Tenens Coverage

Locum Tenens insurance coverage is provided free of charge by endorsement for a physician substituting for a current insured provider to cover professional services rendered on the insured’s behalf for up to 90 days in a policy year.

Please submit requests to Sharon Daust at Sharon.L.Daust-DeLeeuw@marsh.com .

Increasing Cyber Insurance Coverage

Your policy automatically provides $50,000 in cyber coverage for each insured physician in the practice.

To submit a question or application for higher coverage limits exceeding $50,000, email: Hartfordsubmissions@tmhcc.com .

Download Application to Request Additional Cyber Coverage (PDF)

Terminating Employees

Physicians or Advanced Practice Professionals leaving a practice in the Independent Physician Program can send an email request to terminate coverage to the practice group manager or Sharon Daust at Sharon.L.Daust-DeLeeuw@marsh.com .