From the category archives: Insurance Protection Blog

Tail Insurance

Tail Coverage is tTme Sensitive and the Premium is Based on the Recently Passed Work

Historically "Tail Coverageis an extended reporting period endorsement, offered by a physician's current malpractice insurance carrier, which allows an insured physician the option to extend coverage after the cancellation or termination of a claims-made policy

Tail is time sensitive and the premium is based on the recently passed work.

Tail coverage is only necessary when a Claims-Made policy is cancelled or terminated AND the insured physician cannot secure “Nose” coverage aka “prior acts” from a new insurance carrier.

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How do malpractice Insurance Carriers develop Individual Physician Claims Made Premium Rates?

Regardless of whether you are an independent aesthetician, a contracted  mid level provider, a telemedicine consultant  physician or are managing a healthcare facility, the costs of maintaining (and leaving) your medical professional liability insurance policy is a big business challenge (often one of the most significant challenges faced by our clients and policyholders).

Tail Insurance in medical malpractice insurance might be avoided and the premium savings can total into the thousands.

The ongoing ‘real time’ cost of insurance is tough, the state in which you practice can make or break the premium amount.  And, the untold story of potentially higher (lasting costs) of medical professional liability insurance is :  TAIL.  The price you pay to cover you going forward for the services you provided in the past.

There are ways around paying for tail; without a skilled insurance agent, broker or a creative group administrator, you could unnecessarily pay 50 – 75 % more than necessary

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How Much is Tail (Does The policy Include tail?

Medical Malpractice Tail Premium and Coverage

 

The Doctors’ Insurance Agency provides medical professional liability insurance for physicians and facilities.  In the past thirty years (we were founded in 1988) we have probably answered the question about the high cost and the importance of providing tail insurance for the work that you’ve done over the past weeks, months or many years. Tail insurance can be purchased immediately following the cancellation of a policy by following the terms of the policy; most ‘admitted’, preferred medical malpractice insurance companies charge between 200 and 250 % of the expiring premium to provide a tail policy protecting you  indefinitely into the future.

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How to Avoid the High Cost of Tail?

Medical Clinics can purchase Medical Malpractice Policies that can provide (or offset) the cost of tail.

Often clinics (Urgent Care Centers, Internal Medicine/Primary Care Groups)  and medical groups specializing in pain management struggle with the challenge of  on-boarding physician while  promising to responsibly provide their Medical Malpractice Insurance …which is common and mandatory in order to recruit internal medicine physicians and pain management specialist physicians …but how do you afford to manage the seemingly inevitable cost of future cost of claims. 

The future cost of claims is referred to as tail insurance (which is defined as :  Tail Coverage (Extended Reporting Coverage) 
Coverage that protects the physician against all claims that arise from professional services performed while the claims-made policy was in effect, but which were reported after the termination of the policy. Some insurers offer this feature free of charge for retiring doctors who meet certain requirements

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Are you Planning to Change Medical Professional Liability Insurer?

There are many reasons to change medical professional liability insurers. The most common reason is due to an increase in premium.  The medical malpractice insurance market has been quite stable since 2006 with carriers holding their rates steady, even decreasing them in competitive locations or favorable legal venues.  While the Medical Professional Liability Insurance market is relatively steady, costs continue to be high compared to other lines of commercial insurance coverages.  When determining where to cut costs in your medical practice, do not look towards changing insurance carriers from a claims-made policy without purchasing tail coverage. 
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Is My Tail Covered When I join a Telemedicine Organization?

This is one of the most commonly asked questions of by our Telemedicine Specialists. Understandably so…because….One of the most important costs to contain as you develop and implement your telemedicine organization is the mandatory (and sometimes prohibitively high) cost of medical professional liability insurance. And, one of the most common obstacles in the way of recruiting new physicians to the organization is the concerns about covering their Tail.
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Does My Policy Include Tail ?

One of the most common questions we receive at The Doctors Insurance Agency (a national healthcare liability insurance agency and brokerage) is: does my policy include tail ?

The reality is most medical professional liability insurance policies don't include tail; as many physicians know there are two types of Professional Liability Insurance policies for doctors: Occurrence and Claims Made

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Physicians Who Return From Retirement Within Two Years Are Allowed to Reinstate Their Old Policy

The Doctors Insurance Agency has been providing Medical Professional Liability Insurance for Physicians, Mid-level Providers and Allied Healthcare Providers for decades. We are devoted to our members so they can count on us to be specialists at protecting their practice.

One of our doctors, a Family General Practitioner is considering returning from retirement. Physicians who return from retirement within (normally two years) are allowed to reinstate their old policy with The Doctors Company. The ‘retirement’ period would now be viewed as a suspension of coverage period. Upon return the Tail Insurance is rescinded and their retroactive date is reinstated.
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Pay Now or Pay later for the cost of tail coverage?

Should Tail be included? It is my opinion that medical groups should  include ‘tail’ at the time of cancellation when paying for  malpractice insurance coverage. It is my experience that most medical groups have claims  made policies.  These claims made policies are  up to 2 ½ times less expensive than an annual occurrence policy. Claims made policies are less expensive because they defer the cost of insuring future claims.  Pay Now or Pay later for the cost of tail It is also important to note that not  purchasing tail insurance is just like carrying bad credit forward into your  professional career.  Almost all future employers are going to ask if you have paid a tail policy, and they will ask for proof of that policy. This is because there is a universal belief amongst medical groups that any retroactive risk will attach to the new group. Logic dictates otherwise, if a medical group brings a physician on, then any ...
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