Medical Indemnity Fund
Forms and Instructions
The following materials are in PDF format.
To enroll in the Fund an applicant must also submit the following:
- a completed and accurate application form; and
- a copy of a court-approved settlement or judgment; and
- a copy of the exhibits reviewed by the court
Completed applications should be mailed to:
NYS Medical Indemnity Fund
c/o AliCare
333 Westchester Avenue
White Plains, NY 10604
Applications and supporting documentation may also be scanned and e-mailed to the Fund in PDF format to: MIF@dfs.ny.gov
If you have any questions or need assistance completing the application, please contact us:
OR
1-855-NYMIF33 (1-855-696-4333)
Updated 03/06/2013
