Reporting Changes in Your Practice

Important changes to report to ISMIE include:

  • New procedures performed.
  • Acceptance of a medical director position.
  • Changes in practice location or mailing address.
  • Changes in partners, shareholders, directors or other professional and allied health professional personnel.

It is a good habit to immediately notify ISMIE’s underwriting division of changes to ensure adequate coverage.

ISMIE policyholders can report changes by downloading a Change Request Form to your computer, then forward the completed and signed form to ISMIE via fax at 312-782-2023.

The underwriter assigned to service your account will immediately process your request and confirm your changes in writing. If additional information is needed, please contact us at 800-782-4767, or email