Become a TDIC Policyholder | TDIC (The Dentists Insurance Company)
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Become a TDIC Policyholder

Apply for TDIC insurance online today.
Simply complete the application for your chosen coverage and submit it with your e-signature. A copy of your application will be emailed to the address provided, and a TDIC representative will contact you soon to review your coverage options.

Please return completed PDF forms to: [email protected]

Business coverage online applications

Health coverage information

Prefer paper?

Download and print PDF applications. Then, fax or mail your completed application to TDIC.

If you have questions or need assistance with the application process, please contact us.

Return via Email

Please return completed PDF forms to: [email protected]

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