New Practice Executive/Administrator Vantage^® account

SVMIC Vantage^® is reserved for an active insured's Practice Executives/Administrators. Vantage^® Accounts are issued when account information has been validated and the required documentation/forms have been received by SVMIC^®.

In order to gain full administrator privileges, please complete and submit the following form after submitting this Vantage^® Account request:

Vantage® Services Authorization Form

Our normal business hours are:
Monday - Friday 8 a.m. - 5 p.m. CT

When your information has been validated, your logon information will be emailed to you.

Thank you,
SVMIC Vantage^® Team

Policyholder's Information

Account Number or Group Number *
Where to find your 6 digit SVMIC account number:

Policyholder's Full Name or Group Name *
For faster processing the name should match the name on file with SVMIC

Practice Executive/Administrator Information

First Name *

Middle Name

Last Name *

Your logon information will be sent to this address

Email Address *

Confirm Email Address *

Telephone Number (999-999-9999)

The security question and answer will be used authenticate your identity

Security Question *

Security Answer *

Passwords are case sensitive and:

Must be at least 8 characters long
Contain one (1) uppercase letter
Contain one (1) lowercase letter
Contain one (1) number

Create Password *

Confirm Password *

Please enter the number above

By clicking the box below, you are certifying that you are the named party and your request is valid. Completing this form under false or fraudulent pretenses is subject to legal action.

I affirm