1. Complete the Policyholder Services Department (PHS) Request  Form, indicating items desired.

2. Submit your completed Request Form and respective signed authorizations, as required, to our Policyholder Services Department utilizing one of the following options:

  • Fax to: (212) 300-9388
  • Scan and email to: PHSfax@mlmic.com
  • NEW! Take a picture of the documents with your mobile device and email them to us at: PHSfax@mlmic.com
Request a Quote

Call 1-800-ASK-MLMIC or arrange a future call at a time convenient for you.

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Download an application.