An applicant for a volunteer dentist's or dental hygienist's license, and an applicant for the renewal of a volunteer dentist's or dental hygienist's license, shall be covered by malpractice insurance. If the malpractice insurance consists of a personal policy of malpractice insurance, the dentist or dental hygienist shall provide the Board with evidence of the insurance which shall consist of: The name of the insurance provider; The name, address, and telephone number of the insured's agent, or if the insured has no agent, the address and telephone number of the insurance provider; The policy number; The amounts of coverage; and The expiration date of the policy. If the malpractice insurance is provided from or through the institution at which the applicant is to provide volunteer services, the dentist or dental hygienist shall provide the Board with evidence of the insurance which shall consist of: The name of the insurance provider; The amounts of coverage; The expiration date of the policy or coverage; and A letter from the institution verifying the intent of the institution to provide malpractice insurance.