DPC ALliance Program
How To Apply
Complete An Application
Fill out this application below if you are in one of the following states: AL, FL, GA, IL, IN, or MO.
Complete An Application
Fill out this application below if you are in one of the following states: AR, AZ, CA, CO, CT, DE, ID, KY, LA, MD, ME, MI, MS, MT, NC, NJ, NY, OH, OK, PA, SC, TN, TX, UT, VA, VT, and WA.
Provide The following items
○ Most Updated CV
○ Copy of Active Medical License
○ Recent Claims History report from current insurance carrier
○ Complete copy of your current policy and renewal documentation.
EMAIL TO
Email directly to Citlally Mancilla at: ctmancilla@ddiimail.com
FOR ANY QUESTIONS
If you have any questions in the interim, please do not hesitate to contact Citlally at 210-689-6673
Some policy Highlights
We strive for excellence for our clients and that is why we want to give you the best policy. Here are some things that you should know about our policy.
- Free Retirement Tail
- 3% additional premium discount when paying in Full by Check or ACH (bank draft)
- Quarter Time and Part Time discounts
- Full Consent to Settle on Claims
- Defense costs outside of the Limits of Liability
- No premium penalty for early termination of coverage
*Where allowable by law