Become a Provider

Provider Eligibility Requirements

Register as a Provider

To register as a KLT  provider, an eligible physician must complete the appropriate form below. Resident physicians must comply with all KU Medical Center policies and procedures regarding participation in the KLT program.

Medical Professional Liability Insurance for Resident Physicians and Fellows

All KU resident physicians and fellows are required to have medical professional liability insurance to participate in the KLT program.

Medical Professional Liability Insurance Sponsorship

Rural Health Education and Services have been successful in finding funding sources to help KLT resident physicians cover liability insurance costs.

In order to receive Medical Professional Liability Insurance Sponsorship you must:

  1. Fill out a Medical Professional Liability Insurance application
  2. Agree to the terms and conditions defined in the policies and procedures
  3. Meet the Provider Eligibility Requirements listed above.

Check out the Medical Professional Liability Insurance Sponsorship FAQs page or contact Andrea Ellis for more information at 1-888-503-4221 or by email

KaMMCO Healthcare Provider Insurance

Alternatively, you can purchase your Kansas individual medical professional liability insurance through KaMMCO. Please use the information provide below to assist you.

Medical Professional Liability Insurance Application
  • NOTICE: This application needs printed or saved in pdf format and sent to Lori Minor, CPCU, USI Midwest, LLC by fax: 316.263.6995 or Do not use the Submit by Email button at the top of the application.

Tips on completing the Medical Professional Liability Insurance

Contact Andrea Ellis for more information at 1-888-503-4221 or by email

The Kansas Locum Tenens medical professional liability insurance fund is generously supported by gifts from Earl Merkel, M.D., and his wife Kathleen, of Russell, Kan., and the Dane G. Hansen Foundation of Logan, Kan. These gifts counts toward Far Above: The Campaign for Kansas, the university's $1.2 billion comprehensive fundraising campaign. Far Above seeks support to educate future leaders, advance medicine, accelerate discovery and drive economic growth to seize the opportunities of the future.

The campaign is managed by KU Endowment, the independent, nonprofit organization serving as the official fundraising and fund-management organization for KU. Founded in 1891, KU Endowment was the first foundation of its kind at a U.S. public university.

Primary Care Fee Schedule

KLT services are reimbursed at the coverage rates listed below. In addition, off site lodging will be provided.

Daily Rate (24hrs.)
(minimum 1 day pay required)
$ 1450
Holiday pay (per day): $ 200
Travel Rate (per hour): $ 30
Late Fee* (per day): $ 25

*A new policy requires KLT providers to be paid within two weeks after coverage. Late payments incur a $25 per day fee from the client that gets paid directly to the KLT provider.

Upon completion of the locum tenens coverage, the resident/faculty provider submits an invoice to the rural physician or hospital that includes all charges and information as to whom the check should be made payable. The rural physician or hospital sends the remittance for the coverage to Rural Health Education and Services — Kansas City office. If the remittance is for coverage provided by a resident, the check is forwarded to the resident. If a faculty member provided the coverage, the remittance is forwarded to that faculty member's departmental Foundation. The departmental Foundation reimburses the faculty member for providing the coverage.

Last modified: Apr 01, 2016

Do you have any questions?

Check out our KLT FAQs.

For more information about how to "Become a Provider" or "Request Service" contact Andrea Ellis at 913-588-1228 or