Medical Mutual Insurance Company of Maine

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Commentary: Medical Mutual vs. The Competition
Your reputation and livelihood could some day rest on the differences.

By Terrance J. Sheehan, MD
President & CEO

No other carrier has ever declared a dividend in Maine, New Hampshire or Vermont.

In a competitive marketplace, companies often devote considerable effort toward communicating the differences in their products and services relative to their competitors. When it comes to medical professional liability insurance, Medical Mutual surely offers both distinct advantages in its contractual language and program design that competitors have difficulty matching. Definition of a claim, administrative defense, slot coverage and how we handle tail coverage, for instance, provide significant savings and flexibility for our policyholders.

But when your reputation is on the line because of a medical liability dispute, the biggest differences between Medical Mutual and other carriers in Northern New England are fundamental and rooted in our philosophy, our corporate objectives and our overall approach to the job of providing medical professional liability coverage. As such, they fundamentally — and often dramatically — affect the protection and treatment you receive for your premium dollar.

The Mutual Advantage

First and foremost, as a mutual company, Medical Mutual exists to serve our owner-policyholders – physicians and institutions throughout Maine, New Hampshire and Vermont. Unlike our competitors, we are not a stock company whose goal is to create profit for its stockholders. Nor are we a subsidiary of a large out-of-state company.

How does this fundamental difference play itself out? When premiums exceed the cost of doing business and assuring a financially strong company, Medical Mutual declares a dividend — payable to its policyholders — which it has done eight times for a total of $23 million. No other carrier has ever declared a dividend in Maine, New Hampshire or Vermont.

We are here first and foremost to protect the assets and, just as importantly, the reputations of its member-policyholders. To that end, we make decisions based on the principle of "Doing the right thing." We settle meritorious cases quickly and fairly. But when a claim is without merit, we will bring to bear all the necessary resources to properly execute a defense. Which is to say, we make such decisions based on the care provided, not corporate-centered cost-benefit analyses.

Similarly, we serve all physician and hospital classes, not just those that offer profitability. Our commitment to the physicians and institutions of Maine, New Hampshire and Vermont is unwavering. Our roots are here and our member- policyholders count on us to remain here for them. We’ve been serving Maine continuously since our inception 30 years ago and have served the New Hampshire and Vermont markets continuously since entering those states in the early 1990’s. No other company, past or present, can make these assertions.

Some insurers enter and exit geographic and individual medical markets based on dollars and cents. Leave a state, drop a medical specialty, it’s just business to them. To them, perhaps, but to the individual physician who is suddenly left without coverage, such redlining often feels personal, and the potential hardship of having to secure new coverage in what would obviously be a difficult market, can be extremely onerous.

Of The Medical Community, For The Medical Community

Another major difference between Medical Mutual and other companies is our deep involvement with the medical communities of Northern New England. Our support for their causes positively affect both insurance- related issues and the environment in which all healthcare professionals in the region practice every day.

Medical Mutual works very closely with the leadership of the medical societies and specialty associations of Maine, New Hampshire and Vermont. Additionally, we financially support these groups and their initiatives, such as the physician health programs in all three states.

Moreover, the Company routinely coordinates Legislative efforts with these associations and societies to bolster the strength of the medical community’s voice on important state issues.

Contrary to what some might say or want to believe, medical professional liability insurance is anything but a commodity... What Medical Mutual offers is a Company that is thoroughly dedicated to protecting your interests, your livelihood and your good reputation.

These partnerships with the medical community also cut both ways. Insured physicians and hospital executives from throughout the region participate as members of Medical Mutual’s Board of Directors and its committees, which are both active and intimately engaged in providing direction on claims, underwriting, marketing and other important issues surrounding the Company and our service to policyholders.

Risk Management: Comprehensive, Unequalled, Collaborative and Local

Finally, while other insurers may offer risk management advice through an 800-number or services through an out-of-state risk management office, no other company can match the combined depth, quality and local presence of Medical Mutual’s risk management services. Comprehensive and readily available, Medical Mutual offers the kind of risk management services that are extremely practical and effective in helping physician practices and hospitals reduce their exposure to undue risk.

Each issue of The Beacon, a quarterly publication of the Company’s Claims and Risk Management Departments, contains what many consider to be must-read case studies that are all archived on the Company’s web site. In addition, the Company’s educational programs, comprehensive online library of practice tips, as well as assessment tools and detailed office practice surveys, shine a light and provide guidance on countless specific risk scenarios. And our risk management staff, which includes local specialists in each state, has daily contact with many of our institutional policyholders, truly partnering with each institutions’ in-house risk management staff. Together, they plan and develop programs tailored to the institution’s needs.

The Insurance-as-Commodity Myth

The bottom line is that contrary to what some might say or want to believe, medical professional liability insurance is anything but a commodity. At times, competitors may offer their insurance contracts for a lower premium. But when you buy such a necessity solely on price, you get what you pay for: an insurance contract. What Medical Mutual offers is a Company that is thoroughly dedicated to protecting your interests, your livelihood and your good reputation – today, tomorrow and forever.