PriMed Consulting - Medical Malpractice Insurance NY, NJ, WV
Why Do Health Professionals Seek Coverage with MLMIC?

Why Do Health Professionals Seek Coverage with MLMIC?

13 Jan 2015
13, Jan Jan, 2015

If you’re a physician practicing in New York, you’ve probably heard of Medical Liability Mutual Insurance Company, or MLMIC. MLMIC is one of the largest malpractice insurance companies in the country, and one of the most prominent NY carriers that can provide protection against a malpractice lawsuit.

What Kind of Policies Does MLMIC Offer?

MLMIC offers two types of Malpractice insurance policies: Occurrence and Claims-Made. It is critical for healthcare practitioners to know the difference in order to make an informed decision.

Occurrence policies provide coverage for claims that may arise from incidents which may have occurred while you had a policy in force, regardless of when a claim is reported, even if the policy is no longer in force. Thus, Occurrence coverage provides long-term continuing protection for the physician. For example, if a malpractice claim is filed say five years after the incident occurred, and the physician or dentist was protected under an Occurrence policy five years ago, the carrier that covered them at the time would provide coverage for any covered claims. Occurrence policies provide the value of long-term coverage over the years.

A Claims-made policy provides protection for claims that ‘arise and are reported’ while you have a policy in force. You are covered up to the policy limits in effect at the time the claim is reported. To be protected for any claims which are reported after the malpractice policy has been canceled, you must purchase ‘tail coverage’, (Extended Reporting Period endorsement), or obtain similar protection from a subsequent malpractice insurance carrier. A claims-made policy must continue in force to provide protection, or be replaced by tail coverage. When you elect to change claims-made carriers, ‘Prior Acts Coverage’ or ‘Nose’ coverage must be obtained to cover your exposure from your first day of claims made coverage.

Which Healthcare Professionals Can MLMIC Cover?

Physicians

Physicians in private practice must obtain malpractice insurance to protect themselves from the defense and liability costs of a malpractice lawsuit. They have the option of either Occurrence or Claims-Made coverage, with the additional option of supplemental insurances such as Professional Entity coverage. With the skyrocketing costs of defending and settling a malpractice lawsuit, physicians have to be careful about their choice of a malpractice insurance carrier.

Dentists

Like physicians, dentists have the option of purchasing either Occurrence or Claims-Made policies. MLMIC also offers additional Tail Coverage or Nose Coverage to pair with their Claims-Made Coverage. Tail Coverage provides coverage for malpractice claims reported after the initial coverage has expired. Nose Coverage, in contrast, covers claims relating to incidents during the time the dentist was covered under a prior insurer.

Hospitals

MLMIC has been providing medical professional liability coverage for hospitals and other healthcare facilities since 1975. MLMIC offers comprehensive risk management programs designed to minimize the liability risks of their insured hospitals and healthcare facilities. These programs help reduce the frequency and severity of claims, thereby resulting in lower malpractice insurance costs.

What if You Don’t Have Time to Research Insurance Policies?

You’re a busy healthcare professional, and managing your malpractice insurance should be the least of your worries. If you wish to explore more options for malpractice insurance in New York for yourself, your group practice or your health care facility, please contact PriMed Consulting. 800.528.3758. www.primedconsulting.com

Physicians: Why MMIP (Medical Malpractice Insurance Pool) may be an option.

13 Jan 2015
13, Jan Jan, 2015

MMIP, or the Medical Malpractice Insurance Pool, is New York’s malpractice insurance liability program for doctors with a history of malpractice claims. For physicians and other health care providers who cannot get coverage through the other standard carriers such as MLMIC or PRI, either due to adverse malpractice claims experience or other licensing issues, MMIP would be their ‘go to’ company.

“The Superintendent of Financial Services has, by regulation (Regulation No. 170), established the New York Medical Malpractice Insurance Plan (“MMIP”), to provide for the equitable distribution, of eligible health care providers and facilities unable to obtain insurance in the voluntary market, to authorized medical malpractice insurers.” Individuals and facilities unable to obtain medical malpractice insurance in the voluntary market, and who have been declined by at least three insurers (or the number writing the coverage if less than three) may apply with MMIP.

MMIP cannot refuse coverage to any physician who applies for coverage, so long as they are actively licensed to practice in the state of NY. However, having this guarantee of getting malpractice coverage comes at a price: MMIP’s published premiums are approximately 3 times that of the standard premiums charged by PRI & MLMIC.

Claims-made & Occurrence coverage:

MMIP offers both types of malpractice coverage: Claims-made and Occurrence. In addition, physicians insured by MMIP can also apply for the Section 18 Excess coverage through their primary hospital.

Free tail coverage:

MMIP offers the same type of tail coverage as PRI and MLMIC.

How Does MMIP Work?

In 2012, New York had the highest payout in the nation for medical malpractice lawsuits: $677 million (Westgate, A., 2012). It’s no wonder that several physicians experience problems getting malpractice insurance coverage for issues like:

  • Excess claims and settlements
  • License issues
  • Hospital privilege revocation
  • Sanctions from the Board

If PRI & MLMIC non-renew or decline coverage due to the above reasons, the alternative could be MMIP. MMIP malpractice insurance is accepted in every hospital in the State of New York. In other words, having MMIP allows you to keep working while knowing that you have a policy to address any future claims.

Alternatives to MMIP

The New York malpractice insurance market has seen the emergence of RRG’s, or Risk Retention Groups. These group self-insurance plans work to cover physician liability from medical malpractice claims, and their competitive rates make them an attractive offering to physicians who pay high premiums with the Pool.

However, we suggest that physicians analyze the benefits of any RRG plan before making a purchase. While the premium rates are lower, you should make sure that the hospitals and facilities you work at accept the RRG policy. MMIP is state regulated and accepted by all hospitals in New York.

The fact is that MMIP’s high premiums could be a deterrent to some physicians who may find it difficult to continue their practice: For example, surgeons insured by MMIP may see their malpractice premiums to be three times higher!! Ob/Gyns could be charged premiums of $500,000 or above based on their claims experience! These premiums may be unsustainable for some physicians. RRG’s are a cost-effective alternative to physicians who cannot get coverage on the voluntary market.

Find Your Best Rate with PriMed Consulting

If you are a physician or dentist having trouble getting reasonable coverage, contact PriMed Consulting, an insurance agency with years of experience helping healthcare professionals get malpractice insurance throughout New York. 800.528.3758. www.primedconsulting.com

Who and What Does PRI Cover?

13 Jan 2015
13, Jan Jan, 2015

Physicians Reciprocal Insurers or PRI, is the second largest malpractice insurance carrier in the state of New York. PRI has been serving the needs of NY healthcare providers and facilities for over 30 years.

Why PRI?

PRI serves the medical community throughout New York State and provides competitively priced malpractice insurance premiums to practicing physicians, chiropractors, and dentists. In addition, PRI also offers customized solutions for hospitals and various healthcare facilities.

PRI’s three main attributes are:

  • Comprehensive professional liability products
  • State of the art risk management support, and
  • Outstanding customer service.

Physicians Reciprocal Insurers works on the premise of aggressive claims management. In other words, physicians with coverage can expect to receive timely responses to their malpractice lawsuits. However, professionals cite that PRI’s greatest resource is its risk management program which includes online education, reference books, and discount incentives for completing risk management programs.

In addition to covering individuals, PRI also serves:

  • Hospitals
  • Medical Schools
  • Nursing homes
  • Medical Colleges
  • Other Medical Facilities

Competitive premiums:

The aggregate malpractice claims payout in New York was $677 million dollars in 2012 (Westgate, A. 2012). It is no wonder that NY physicians are looking for competitively priced malpractice insurance as the premiums have increased steadily over the years.

PRI offers competitive premiums and discounts for several specialties in NY. Besides competitive premiums, PRI also offers aggressive claims handling and risk management services that can help mitigate the claims losses experienced by physicians. PRI also offers locum tenens coverage.

Corporation coverage:

PRI also offers extra liability limits for Professional entities (such as PC, PLLC) at no additional charge, if all physicians in the group are insured by PRI. This is a tremendous benefit for practices of two or more physicians in NY.

Types of Coverage Offered:

PRI offers Occurrence policies, which provide coverage for claims that may arise from incidents which may have occurred while you had a policy in force, regardless of when a claim is reported, even if the policy is no longer in force. Thus, PRI’s Occurrence coverage provides long-term continuing protection for the physician. For example, if a malpractice claim is filed say five years after the incident occurred, and the physician or dentist was protected under a PRI Occurrence policy five years ago, PRI would provide coverage for any covered claims. Occurrence policies provide the value of long-term coverage over the years.

PRI also offers Claims-made policies. PRI’s Claims-made policies provide protection for claims that ‘arise and are reported’ while you have a policy in force. You are covered up to the policy limits in effect at the time the claim is reported. To be protected for any claims which are reported after the malpractice policy has been canceled, you must purchase ‘tail coverage’, (Extended Reporting Period endorsement), or obtain similar protection from a subsequent malpractice insurance carrier. A claims-made policy must continue in force to provide protection, or be replaced by tail coverage. When you elect to change claims-made carriers, ‘Prior Acts Coverage’ or ‘Nose’ coverage must be obtained to cover your exposure from your first day of claims made coverage. PRI also offers free tail coverage to physicians who satisfy the State requirements for free tail coverage.

Applying for Physicians Reciprocal Insurance

Physicians have to meet PRI’s underwriting criteria before being approved for coverage. If you need help with your malpractice insurance options, please contact PriMed Consulting, a leading malpractice insurance broker exclusively serving NY & NJ. 800.528.3758. www.primedconsulting.com.

NY Medical Malpractice: Professional Entity Coverage

8 Jan 2015
8, Jan Jan, 2015

Do you need to cover your Professional Entity against potential malpractice lawsuits?

It is important for physicians and practices to understand ‘who’ and ‘what’ is covered under a medical malpractice insurance policy, as well as the limits and exclusions.

Practices should strive to obtain coverage for the physicains, the Entity (LLC, Partnership or Corporation, PC), as well as any licensed employees.

An employer can be held liable for the acts of the employees. If there is a professional corporation or Entity, that Entity may hold the business assets or accounts receivable. It is quite conceivable that the Entity may be named in a lawsuit that is primarily against one of the physicians or employees of the Entity. This makes it extremely important to ensure that the issue of Entity coverage is addressed in your malpractice policy.

Most malpractice insurance carriers offer entity coverage with shared limits to solo practices, usually without charging additional premiums. However, if there are two or more practitioners in the group, you can get separate limits of liability for the Entity. This Entity coverage is offered at no additonal premium by some carriers, while others may charge upto an additional 10% of the groups total premium to add this coverage.

Separate limits of coverage of $1M each claim/$3M Aggregate may be available to a Professional Entity. A Professional Entity is the ‘Professional service corporation (PC), Professional LLC, Partnership or LLP’ of an insured physician.

To be eligible for coverage, the Professional Entity must meet the following eligibility requirements:

PRI (Physicians’ Reciprocal Insurers)

PRI provides Entity coverage to a physician groups (such as a PC or PLLC) for no additional charge. The physicians and extenders in the group would have to meet PRI’s underwriting criteria AND be insured by PRI in order to qualify for this coverage. This is a huge savings for groups: Some other carriers can charge upto 10% of the total premiums to add Entity coverage.

MLMIC:

MLMIC can provide Entity coverage for an additional charge. This premium charge is calculated as a percentage of the total premiums for all physicians in the group combined. Additionally:

  • MLMIC must insure at least 75% of the members and/or employed physicians of the entity;
  • The Professional Entity must be incorporated in NY State;
  • Members and employed physicians, surgeons or physician extenders in the practice must be acceptable based on MLMIC’s underwriting standards; and
  • All members, employed physicians and/or physician extenders must carry individual limits of insurance of at least $1M/$3M.

Risk Retention Groups:

Entity coverage guidelines differ amongst RRGs. While most RRGs (Such as Medpro RRG) offer separate limits of coverage for the Entity, the additional premiums charged may differ from one carrier to the other. It would be advisable to review all possible options before deciding on the best possible malpractice insurance solution for your practice.

For more information, and to explore all your options, please contact PriMed Consulting at 800.528.3758. Email: info@primedconsulting.com. PriMed Consulting is an independent medical professional liability agency, serving NY & NJ.

Source: Carrier websites

MLMIC Risk Management Discounts & Programs for NY Physicians

31 Oct 2012
31, Oct Oct, 2012

MLMIC’s Risk Management programs are designed to help their physicians to improve patient care, and prevent injury or negative outcomes and the resultant lawsuits.

CME Accreditation

MLMIC is accredited by MSSNY to provide CME for physicians. MLMIC utilizes conventional formats and new technologies, including an Internet-based format, to provide and deliver its CME programs. Satisfactory completion of these CME courses allows physicians to earn AMA PRA Category I credits™, the applicable premium credit, as well as qualify for participation in the medical malpractice excess insurance program.

5% Premium Credit

MLMIC offers a 5% discount on malpractice insurance premiums for two consecutive years upon completion of the risk management courses offered pursuant to the NY State Insuarance Department regulations. (Reg 124). The premium credit will be effective in the policy period following the one in which the physician completes the course.

MLMIC also encourages its insured physicians to invite members of their office staff, including physician extenders, to attend these risk management programs. Attendance certificates are provided, upon request, to non-physician participants who complete these courses.

There is no fee for MLMIC policyholders or their employees who wish to participate in these programs.

To explore all your malpractice insurance options, and maximize your savings through discounts offered, please contact PriMed Consulting at 800.528.3758. Email: info@primedconsulting.com. PriMed Consulting is an independent medical professional liability agency serving NY & NJ. 802 West Park Avenue, Bldg, 3, Suite 302, Ocean, NJ 07712.

Source: MLMIC website

Physicians’ Reciprocal Insurers (PRI) Risk Management Programs & Discounts

24 Oct 2012
24, Oct Oct, 2012

Physicians’ Reciprocal Insurers (PRI) is accredited by the Medical Society of the State of New York to sponsor CMEs for physicians. Physicians who participate in PRI’s risk management programs are awarded CME credits upon successful completion of the program.

PRI’s programs are developed and managed by seasoned healthcare professionals who understand the complexities of medical practice in today’s environment. PRI’s risk management programs are complimentary to PRI insureds and their staff, and include:

  • In-office consultations for small and large practices
  • Telephone consultation on risk management and legal issues (during business hours)
  • Web-based online educational programs with 24X7 access
  • Live seminars and workshops, providing in-person access to PRI’s experienced risk management faculty

In addition, PRI offers the following as part of their multi-faceted approach to helping physicians prevent negative outcomes, injury and lawsuits:

  • CME: Online Education & Risk Management: Physicians can take PRI’s online courses to earn CME credits and a 5% discount on malpractice insurance premiums.
  • Closed Case Abstracts: Physicians can review summaries of actual malpractice cases that can reveal important patient safety tips.
  • PRI insureds can access risk management manuals which are periodically updated and revised.
  • PRI has created the ‘Physician Peer Support Program‘, a new and innovative program designed to assist their physicians when they are faced with an unexpected complication, a medical error, or malpractice litigation.

PRI offers 2 different programs:

Basic 5-Hour Program

This course is for those physicians who need to satisfy the New York State Insurance Department Excess 5 hour program, and/or for those physicians who are eligible to receive a 5% discount. After completing the course, each physician will be awarded 8 CME credits.

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% discount. After completing the course, each physician will be awarded 5 CME credits.

IF you would like to explore all your options, and maximize the savings on your malpractice insurance, please contact PriMed Consulting at 800.528.3758.
Email: info@primedconsulting.com. PriMed Consulting is an independent medical professional liability agency serving NY & NJ.

Source: PRI website

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.

IMPORTANT CHANGES TO EXCESS COVERAGE: NEW THREE YEAR RULE FOR ELIGIBILITY
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:  info@primedconsulting.com.

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: info@primedconsulting.com.

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.