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Program Applications
Allied Health Choice Application

Contact the Underwriter
Thomas Kirsche
Program Leader
888-546-9952
678-290-2199


Thomas.Kirsche@thomcoins.com
Submission Requirements
THOMCO Allied Health Choice Application (General Information)
Currently Valued Loss Runs
Current Financials (Any Account Over $100,000 in Premium)
Federal Survey Reports and Accreditation Reports (If Applicable)
Current State License and Survey (if applicable)
Download Marketing Materials
Med Lab & Imaging Choice Brochure
Med Lab & Imaging Choice E-mail Marketing

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