Claims-made insurance coverage for physicians, surgeons and healthcare providers.
Insurance » Policy Features
With Medical Mutual’s claims-made professional liability insurance, you can choose from a range of deductibles and limits to match your exact needs. Plus, when you purchase your professional liability insurance from Medical Mutual, you also get access to first-class and complimentary risk management services that foster best practices in your patient care operations. And for clinics and other select facilities, Medical Mutual also offers integrated general liability insurance to help close potential coverage gaps.
Professional Liability Insurance:
Medical Mutual writes all of its professional medical liability insurance coverage on a claims-made basis, which means you will have protection for claims which arise out of covered professional services you provide following your initial effective date (or retroactive date) of coverage. So, any claims filed against your facility or organization today are covered by current policy limits, even though your limits may have been lower at the time of the incident in question. Each claims-made policy features per-claim and aggregate limits of your choice.
In securing Medical Mutual professional liability coverage, you can also select the deductible for damages that makes the most sense for you, given the scope and nature of your service — indemnity-only or indemnity and expenses starting as low as $5,000 per claim, to an upper end in the hundreds of thousands of dollars.
The typical Medical Mutual claims-made professional liability policy includes coverage for:
- provision or failure to provide health care services
- furnishing of food, beverages, medications or appliances
- post-mortem care
- lawful activities of a formal accreditation, credentialing and quality assurance committee
- reasonable costs associated with defense of a claim up to $250 per day
Save with Prior Acts ("Nose") Coverage
You may be eligible for prior acts ("nose") coverage if you are transferring from a claims-made policy with another carrier — an option that can provide significant savings by eliminating the need to purchase costly tails from a previous carrier.
Nose coverage provides protection against claims which are unknown to you at the time coverage is issued and which arise from covered services rendered prior to the initial effective date of your policy with Medical Mutual. The retroactive date of your previous policy becomes the retroactive date of your policy with Medical Mutual Insurance Company of Maine. Therefore, this eliminates the necessity of purchasing "Tail" coverage from your previous carrier in order to switch to Medical Mutual. If your current coverage is "occurrence" coverage, you do not need prior acts coverage.
Certain restrictions may apply. Contact your agent or the Medical Mutual Underwriting Department for more information.
Reporting Endorsement ("Tail") Coverage:
It is important to note that when a claims-made policy cancels or is not renewed for whatever reason, beginning 30 days after the termination of the policy there is no longer any coverage in force for any unreported incidents or claims. To preserve coverage on a canceled claims-made policy for future claims arising out of professional services provided prior to the termination of the policy, a tail or extended reporting endorsement is offered at the time of the cancellation.
You have the right to purchase this endorsement for up to 30 days after the policy is canceled. If you do not exercise this right and have not obtained prior acts ("nose") coverage from your new insurer, you will not have protection for future claims arising out of care provided while your policy was in force.
General Liability Insurance:
In a hospital setting, gray areas can exist between professional liability and general liability. Medical Mutual’s integrated general liability coverage helps close any potential gaps created by those gray areas, thereby avoiding the inevitable finger-pointing that could otherwise result from having separate carriers for the two areas of risk.
Medical Mutual writes the general liability portion of your coverage on an occurrence basis. As such, Medical Mutual is responsible for covering those general liability claims made against your institution for incidents that occur while the policy is in force, regardless of when the claim is filed.
Medical Mutual’s general liability insurance for hospitals covers:
- bodily injury
- property damage
- personal injury
- medical payments for premises claims up to $5,000
- fire legal liability
- patient's personal property $1,000 limit/$100 deductible
All-inclusive policy features
Discounts
Premium discounts for Medical Mutual hospital insurance are available. Such discounts are experience-based and contain program and protocol requirements for qualification. Contact your agent or the Medical Mutual Underwriting Department for further information.
Non-Assessable Policy
You cannot be assessed back-charges if prior years’ rates are proven to have been inadequate.
Other Coverage Particulars
Protection is applicable to any covered suit filed in the United States. Various limits of coverage are provided on both a per-claim and an annual aggregate basis. Options for deductibles are also available, as are corporate policies with separate limits.