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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

Offering Letter

Subscription Agreement

Stock and Note Ownership Designation Form

Commerce Bank Loan Application


Questions? Please contact our Shareholder Relations Department at 888-355-5551, ext. 1212.



Call us today at 1-888-355-5551 © 2012 MDAdvantage All rights reserved.