Prospective Policyholders - Application Procedures to Become an MDAdvantage Shareholder
All physicians interested in becoming a policyholder
must complete the Application
for Professional Liability Insurance
If you are also interested in paying a capital contribution in order to
become a shareholder
of MDAdvantage Holdings, Inc., please
follow the Application Procedures listed below.
Shareholders of MDAdvantage Holdings, Inc. will receive one share of stock and a Subordinated Insurance Contribution Note. Only holders of common voting shares will have the right to vote for directors of MDAdvantage Holdings, Inc. and, in effect, MDAdvantage, and other matters for which holders of common voting shares of a New Jersey corporation are entitled to vote.
Click the links below to access the Shareholder Application Procedures and related forms.
Shareholder Application Procedures
Stock and Note Ownership Designation Form
Commerce Bank Loan Application
Please contact our Shareholder Relations Department at 888-355-5551, ext. 1212.