To apply, submit the following to the Medical Association:
NOTE: In order to apply for insurance, the physician member must be current on 2017 Medical Association membership dues.
- Completed Application
- Employer Participation Agreement (only one necessary per group)
- Cover Page indicating type of coverage (High, Basic or Dental options for each application)
- $10 application fee (per application)
- Premium for the first quarter - Use the rates above to determine the quarterly rate for each application. (Quarterly premiums are due at this time for each application submitted.)
All applications for each group (physician and employees) must be sent at one time with one check (payment in full as described above). After the initial application is complete, The Medical Association will bill each entity quarterly for premiums due.
The Medical Association will not process any applications until all of the above information (items 1-5) is received, 2017 dues requirements met by all physicians applying, and all monies paid.
Make checks payable to The Physicians Insurance Plan of Alabama and mail to:
Medical Association of the State of Alabama
P.O. Box 1900
Montgomery, AL 36102
• Be a Regular member of Medical Association
• If self‐employed (e.g., sole proprietorship, partnership, LLC, P.A. or certain S‐Corporations), have at least one employee other than the physician and his/her spouse eligible to be in the plan.
• In order for an employee to be eligible, he/she must be considered a full time employee working at least 30 hours per week.
• If the corporate structure of the physicians’ practice is a professional corporation (P.C.), there is no requirement that additional employees be eligible for the plan, but those employees are welcome to participate.
Not sure if you are eligible? Use the Eligibility Decision Tree to find out. In order for an employee to participate, the physician member must participate in the insurance plan.
Enrollees in the group practice do not have to all be on the same plan.
For information on joining The Medical Association contact Jennifer Hayes, Director of Membership, at (334) 954-2500 or click here for our online application. If joining online, you must click the "MASA Regular Member - $450" in the "MASA Membership Dues" drop down menu before submitting your application.
If you have any questions please feel free to contact Mark Jackson, Brenda (Ellis) Green or Jennifer Hayes at (800) 239‐6272 or (334) 954‐2500.
To be eligible to enroll outside of the open enrollment period, you must be:
• A new Medical Association member (Members who join within three years of terminating their membership are considered "reinstated" members and must wait until open enrollment to apply for insurance.)
• A new licensee
• New to Alabama
• A newly hired employee of a group already participating in PIPA
• A previously ineligible individual whose practice status has changed and are now eligible