MHIP Speaker Request
If you'd like to have a representative of MHIP speak or present information at your event, please complete the form below. Your information will be sent directly to our staff and one of our representatives will contact you as soon as possible.
If you'd prefer to complete this form offline, you can download our Speaker Request Form as a PDF. Our Fax number and Mailing address are included on the form.
Apply for MHIP Coverage
Applications accepted until 11-15-13.
It's easy to apply for MHIP coverage. We've put together a simple checklist to help you get all your information in order.
Go to the Apply Now Checklist Page for information and helpful links.
Need help with your application?
Call us at 800-821-2231.
Answers to Your Questions
MHIP's office doesn't manage every part of the coverage. Find out who can give you the right answer — fast.