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NY Medical Malpractice: Excess Coverage & Important Changes

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NY Medical Malpractice: Excess Coverage & Important Changes

21 Sep 2012
21, Sep Sep, 2012

As restrictions have been put in place to limit the number of “Excess Slots”/physicians receiving free Excess Coverage, the need for “Paid Excess” has arisen.

Therefore, if a physician does not qualify for Section 18 coverage/free excess coverage the option is available to purchase “Paid Excess.” In addition to your primary limits of liability (1.3/3.9 million dollars) this provides an additional layer of $1 million dollars per claim / $3 million aggregate limit. This takes the standard policy limit from $1.3/3.9 to $2.3/6.9.

Premiums for excess coverage are determined based upon your specialty and the county in which you practice. As long as you carry a policy with an admitted carrier you will be eligible to purchase excess coverage. After completing a brief application we will be able to present you with quotes and help you to bind coverage.

PriMed Consulting can help you to explore your options for Excess Coverage. Please contact us to obtain a quote and put your excess policy in place.

In order to qualify for the FREE/UNPAID NYS Excess Liability Program (Section 18), you must have:

  • a primary affiliation with a New York state general hospital having professional privileges
  • a qualifying individual primary policy of $1.3 million per claim/$3.9 million aggregate
  • completed a qualified risk management program within the last two years

This Excess medical malpractice insurance program is frequently referred to as the NYS Section 18 Program. Consistent with Section 18 Legislation, this is an Occurrence policy provided at no additional cost to physicians, so there is no tail™ required at the conclusion of the policy.

The State of New York has implemented a three year rule for medical malpractice Excess insurance applicants for the 7.1.2012 – 7.1.2013 policy year. In order to get the free excess coverage, physicians and surgeons would need to have had an Excess policy for all or part of each of the previous 3 years:

7.1.2009 – 7.1.2010
7.1.2010 – 7.1.2011
7.1.2011 – 7.1.2012

If you satisfy the new rules concerning past coverage and are eligible for the Excess coverage as outlined above, you should receive your coverage. If you do not, you are not guaranteed an Excess policy for 2012-13. Applications for those physicians who do not meet the above criteria will be held pending a decision by NY State later this year.

For more information on your primary medical malpractice insurance and/or excess coverage, please contact PriMed Consulting at 800.528.3758 or email:

Physicians Reciprocal Insurers (PRI) Program for NY Pediatricians

19 Sep 2012
19, Sep Sep, 2012

Pediatricians practicing in NY would benefit from comparing their current medical malpractice insurance coverage and premiums with that offered by PRI. PRI is one of the leading medical malpractice carriers in NY, insuring over 12,500 physicians and many prestigious health care facilities.

PRI offers very competitive premiums for NY Pediatricians, along with a choice of Occurrence and Claims-Made coverage forms. PRI also offers nose™ or prior-acts™ coverage to those who are currently covered under a claims-made policy with another carrier.

A quick review of the current med-mal policy could end up saving NY Pediatricians over 20% on their medical malpractice premiums! Call PriMed Consulting today at 800.528.3758 or email:

NY Malpractice Insurance: Physicians Reciprocal Insurers (PRI)

17 Sep 2012
17, Sep Sep, 2012

PRI has been a medical malpractice leader in New York State since their founding in 1982. PRI functions as a Reciprocal Insurer, which means that every physician who joins PRI is also an owner of the company. PRI currently insures more than 12,500 doctors as well as some of the most prestigious medical centers in New York with written premiums over $400 million a year, Making PRI one of the largest writers of Medical Malpractice Insurance in the nation.

PRI™s Programs include:

  • Aggressive claims handling
  • Entity Coverage for your PC, LLC, PLLC or your Partnership
  • Claims Made and Occurrence Policies
  • Excess Coverage
  • Nose Coverage
  • Waiver of premium for Tail Coverage
  • Suspension for those doctors under a Claims Made Policy
  • Locum Tenens Coverage
  • Payment Options include quarterly billing with no finance fee, credit card payments and premium finance options

For more information or help with a PRI application, please call PriMed Consulting at 800.528.3758 or email:

Medical Malpractice Insurance for OB/GYN Physicians

12 Sep 2012
12, Sep Sep, 2012

Obstetricians and Gynecologists often find themselves in a crisis situation, facing astronomical medical malpractice insurance premiums, and the potential for damaging lawsuits.

Unfortunately, medical malpractice insurance premiums for OB/GYN physicians will probably always be high. Why? Because OB/GYN physicians face incredibly high risks due to the nature of their specialty.

Many medical incidents are beyond the control of OB/GYN physicians, especially during the delivery phase of a pregnancy. With many serious complications linked to babies due to the unavoidable/unforeseeable risks associated with birth, it comes as no surprise that OB/GYN physicians face great potential for lawsuits related to pregnancy/delivery complications – so great, that many OB/GYNs have given up practicing Obstetrics.

Whether at fault or not, many OB/GYNs believe they have little chance of triumph in the courtroom; and yet, are understandably reluctant to consent to a settlement when they believe they did nothing wrong and provided the due standard of care to their patients. Due to inevitable claims, it is extremely imperative that OB/GYN physicians seek the best possible medical malpractice insurance company they can find with a specialized team of attorneys to defend them against lawsuits.

While it may seem like there is no winning med-mal solution for OB/GYN physicians, especially in NY, there are alternative options available including special Discounts and Risk Management courses. Due to the high premiums OB/GYN physicians face, there is oftentimes potential for substantial discounts. Also, many carriers offer innovate risk management tools specifically designed for OB/GYN physicians to reduce their risks – especially risks associated with delivery.

PriMed Consulting works with several experienced, competitive, state admitted med-mal carriers and RRGs in NY and NJ with viable options for OB/GYNs.

If you are an OB/GYN physician looking for malpractice insurance, contact PriMed Consulting to help you determine the most viable med-mal coverage options for you and your practice.

Physicians Reciprocal Insurers (PRI) Med-Mal Risk Management Programs & Discounts

10 Sep 2012
10, Sep Sep, 2012

Physicians Reciprocal Insurers is accredited by the Medical Society of the State of New York to sponsor Continuing Medical Education (CME) for physicians. Therefore, those physicians who participate in PRI™s med-mal risk management programs are awarded CME credits.

risk management education programs are available to physicians through online access or, if the physician prefers instructor led environments, at regional local areas.

PRI offers 2 different programs:

  • PRI Basic 5-Hour Program: This course is for those NY physicians who need to satisfy the New York State Insurance Department Excess (Section 18 First Layer Excess Medical Malpractice Insurance Coverage) 5-hour program, and/or for those physicians who are eligible to receive a 5% risk management discount on Their Medical Malpractice Insurance. will be awarded 8 CME credits.
  • PRI 3-Hour Follow Up Program: This course is for those physicians who need to satisfy the New York State Insurance Department Excess 3-hour follow up program, and/or for those physicians who need to renew their 5% risk management discount on their medical malpractice insurance. After completing the course, each physician will be awarded 5 CME credits.

For more information on PRI, please contact PriMed Consulting at 800.528.3758. Email:

Physicians Reciprocal Insurers (PRI) Offers Premium Discount Programs

7 Sep 2012
7, Sep Sep, 2012

Physicians Reciprocal Insurers offers New York State Insurance Department approved Excess and Premium Discount programs. Discounts include:

  • Risk Management Discount
  • Voluntary Attending Physician Discount (Joint Defense Discount)
  • No Consent Discount
  • Part-time Discount
  • New Doctor Discount
  • Annual Pre Pay Option
  • Claims-free Discount
  • Magnacare Discount

For more information, please call PriMed Consulting 800.528.3758. Email:

New York Section 18 First Layer Excess Professional Liability Coverage

5 Sep 2012
5, Sep Sep, 2012

What is the Section 18 Program?

The Excess Medical Malpractice Insurance Program was established by the NY State Insurance Department, and later extended under Section 18 of the Medical Malpractice Reform Act. First layer excess is an additional layer of insurance protection ($1/3 Million) above the standard primary limits of $1.3/3.9 Million. First layer excess coverage is offered at no additional cost to eligible physicians and dentists who meet the following requirements:

  1. You must maintain primary individual limits of $1.3/3.9 Million with a NY State approved carrier
  2. You must complete a qualified risk management course. The RM course also makes you eligible for an additional 5% discount on your primary individual policy.
  3. You must have active privileges at one or more hospitals in NY State.

The application process is simple: Once you have your primary individual coverage ($1.3/3.9M Limits) through a NY State approved carrier, you can submit the excess application to your primary affiliated hospital along with a copy of your primary coverage and a copy of the Risk Management course certificate.

This valuable coverage is provided at no additional cost to you. If for any reason you do not qualify for the free excess coverage, you may be able to purchase and pay for this coverage through an insurance carrier.

For more information and assistance with the application process, you may contact PriMed Consulting at 800.528.3758. Email:

New York: Medical Malpractice Insurance Pool (MMIP) Information

4 Sep 2012
4, Sep Sep, 2012

The Pool,  or MMIP, provides medical malpractice coverage for physicians and health care providers who are NOT able to get malpractice insurance in the voluntary market.

New York, especially the five boroughs (Bronx, Brooklyn or Kings County, New York County, Queens and Richmond) and Long Island, have some of the highest medical malpractice rates in the nation. NY is one of the states that has not enacted any kind of tort reform capping payouts, resulting in steadily increasing med-mal insurance premiums.

Voluntary Insurance Carriers in NY: ’ Reciprocal Insurers (PRI)), Medical Liability Mutual Insurance Company ((MLMIC),), and “The Pool ((MMIP),), are the only NY State admitted carriers providing coverage in the voluntary market.

In recent years, Risk Retention Groups ((RRGs)) have entered the NY market, offering competitive premium rates.

Often referred to as “the insurer of last resort MMIP provides insurance for physicians and other health care providers who are not able to get insurance due to underwriting reasons such as: excessive claims activity, excessive settlements, revocation of license issues, temporary revocation of hospital privileges, Medical Board sanctions, etc. It is of no surprise that MMIP charges premium rates that are well above those charged by PRI or MLMIC, sometimes as high as 200-300% of standard rates.

Physicians applying for coverage through MMIP can get limits of $1/3 Million or $1.3/3.9 Million. Physicians who apply for the higher limits and complete the required Risk Management Course can be eligible for the free excess coverage as well.

As more and more hospitals in NY are now accepting physicians insured by RRGs, many physicians insured with MMIP or applying to MMIP can also consider their options with the various RRGs offering medical malpractice coverage in NY.

PriMed Consulting is an independent medical malpractice insurance agency, with access to several carriers in the voluntary market, as well as RRGs. To discuss your med-mal coverage options and determine the best coverage for you and your practice, contact us.

How the MedPro-Princeton Merger Benefits NJ Physicians

31 Aug 2012
31, Aug Aug, 2012

In January 2012, Princeton Insurance was acquired by Medical Protective/Berkshire Hathaway, which has resulted in enhanced product offerings and greater financial strength for their policyholders. The recent transaction will help New Jersey physicians and healthcare providers confront the challenges they face in a changing healthcare environment. Princeton Insurance has continually been recognized for its excellent customer service as well as Competitive Medical Malpractice coverage for New Jersey physicians especially in primary care specialties, such as Internal Medicine, Family Practice, and Pediatrics. Princeton Insurance is rated A+ (Superior) by A.M. Best.

What are the benefits?

  • Part-time rates can still be calculated as 21 hours or less per week (as they always have been) or can be calculated as 1,092 hours per year, which works well for physicians that travel for part of the year but work full/heavier weeks while in town.
  • Doctors who are on a Claims-Made Policy and switch in to Princeton Insurance Company, a division of MedPro, can qualify for a free tail fully earned after only 1 year with Princeton if they have a retroactive date from 48 months prior. Also, the age requirement of 55 has been removed. There is no longer an age requirement.
  • The new doctor discount has been extended into the doctor’s 3rd year in practice (was formerly 2 years). Now, a new doctor gets a 75% discount for their first year in practice, 30% in their second year, and 15% in their 3rd year.
  • New Jersey policyholders will still experience the sound service long-provided by Princeton Insurance, but will also receive the medical malpractice coverage benefits that MedPro/Berkshire Hathaway offers. The MedPro-Princeton combination marks a win for all NJ policyholders, who will continue to receive the same excellent service they have come to expect along with additional coverage services, resources, and enhanced protection

To obtain a quote from Princeton Insurance, please contact PriMed.

About Princeton Insurance

Princeton Insurance Insurance is the largest healthcare professional liability insurer in New Jersey, serving the state’s hospitals and individual medical and healthcare professionals continuously since 1975. With responsibility for over 19.000 healthcare providers and approximately $150 million in annual premium, Princeton is New Jersey’s leader in professional liability coverage and risk solutions for healthcare providers, including hospitals physicians, dentists, chiropractors, optometrists, podiatrists, and other healthcare facilities. Princeton Insurance is a MedPro/Berkshire Hathaway company with an A+ (Superior) rating from A.M. Best.

NJ Physicians: MedPro-Princeton Merger Yields Superior Financial Strength Rating

29 Aug 2012
29, Aug Aug, 2012

In January 2012, Princeton Insurance and Medical Protective (MedPro) merged operations in New Jersey to offer physicians a medical malpractice coverage option with a carrier of superior financial strength. In May 2012, the independent rating agency, A. M. Best, assigned Princeton Insurance a financial strength rating of A+ (Superior) with a positive outlook.

In their announcement, A.M. Best stated: The ratings take into consideration Princeton’s stand-alone attributes and the enhancement provided by its affiliation with The Medical Protective Company, their ultimate parent, Berkshire Hathaway Inc. and the future benefits to be derived from these relationships…The ratings also consider Princeton’s supportive capitalization, leading market presence in New Jersey and its much improved operating performance over the most recent five-year period. The positive outlook, is based on A.M. Best’s expectation of improved performance as Princeton deepens its relationship, both operationally and financially, with the related companies.

MedPro is a national leader in primary medical professional liability coverage and risk solutions for healthcare providers, including physicians, dentists, chiropractors, optometrists, podiatrists, other healthcare professionals, hospitals, and other healthcare facilities. MedPro has been protecting the assets and reputations of healthcare providers since 1899. Their offerings include professional liability insurance on both claims-made and occurrence forms.

MedPro is a national leader in primary medical professional liability coverage and risk solutions for healthcare providers, including physicians, dentists, chiropractors, optometrists, podiatrists, other healthcare professionals, hospitals, and other healthcare facilities. MedPro has been protecting the assets and reputations of healthcare providers since 1899. Their offerings include professional liability insurance on both both claims-made and occurrence forms.

Princeton Insurance has a 35 plus year history of local presence and dedicated service to physicians in New Jersey, with local expertise and long-term relationships. MedPro has industry leading financial strength and the expertise that comes from a century of service and a national presence. With Princeton and MedPro working together, physicians can feel assured and expect innovation that will lead the industry in meeting the needs of all types of healthcare providers.

If you think Princeton Insurance may be a suitable fit for you and your practice, contact us for further information.