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Wondering if anyone had advise -- I have a job offer that is great besides malpractice is claims made and APPs are responsible for acquiring their own tail coverage once they leave, this is "non-negotiable."  I was wondering if anyone had any advice regarding what to do or experience with similar issues.  I may be moving in 1-2 years as well so this might not be a "forever" position.  Thanks!

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Tails can be hella expensive.  Call the CM&F group and ask them what your options are.  They are great.  I have dealt with them for 20 years.

Also, if it is a large group, corporation or hospital they prob have a group plan.  Not much you can do with that.  I would always buy CM&F's PA "asset guard" to supplement the main policy.  You can read about it on their website and also get an insta quote.  I think they are in NY so check their hours based on where you are.

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It was so refreshing to see Cideous give you the best answer in the land. New PAs are bound to make errors even as some more experienced PAs. There is so much to learn and problems walk into your realm without much fan fare. Malpractice insurance is as important as your stethescope and if there is a policy provided to you, without a tail, the "Asset Guard" by CM&F is an absolute must.

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1 hour ago, iconic said:

Isn't 100,000 liability too low with CMF Asset Protection policy?

So the asset protection is a rider on top of your regular group plan.  It stacks on top, but it pays fully for you to have your own attorney defense, not your corporate overlords lawyer.

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10 minutes ago, Mayamom said:

Occurrence for 3 k per year?  It may start at this price but premium goes up yearly.  I remember getting a bill for 6 k.  Finally had to cancel the policy.  

been with for a number of years, still about 2-2500 per year

 

search around for price - there is HUGE variability out there and CMF is one of the most expensive

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  CM&F is slightly higher for a full Occurrence policy ( the best) but a key policy difference is they do not have a “Hammer Clause”.  If CM&F had a hammer clause their  pricing would probably be more closely aligned.  The “Hammer Clause” removes the PAs ability to fight a claim to judgement.  The “Hammer Clause” gives the insurance company the power to settle any claim without consent which saves the insurance company money on further defense costs. Why is this important to you as the purchaser of such an important insurance? If you allow a company to make your claims decision for you the outcome can be an NPI history judgement that can make you a poor risk and unemployable. I have seen this happen over the years . One of my friend's father was a co-owner and on the board of PRI , no longer available , I think, and this is what made them so popular to NYS physicians and at a detriment for PAs in their practice.

 

We also have to remember that there are a number of different policy types which often creates confusion.  The CM&F Occurrence policy would be many times more than the Claims Made policy from Berxi.  However, the Tail purchased on the back end would be very costly.  So it is hard to do an apples to apples comparison without specifically seeing what we are looking at.    

Of supreme importance is the fact that many malpractice companies stay in existence for a few years and then discontinue their insurance as they leave the business, usually because of bankruptcy whereas CM&F has been in this business for sevent-0ne years and has never discontinued its insurance.

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I have an "occurance" policy with no hammer clause 

 

I was at $1581/yr for 1m/3m with Bexti

I changed to Mercer/proliability and for same 1m/3m occurance I am at $2100

 

This is excellent insurance for 1/3 the price of most the competition ($6000)

 

it pays to shop around.....

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I've never had a PA job where the practice or hospital didn't provide full malpractice - with tail. I wouldn't take a job that didn't. Sometimes I had to chime in about getting the tail coverage, but I would get it.

PAs do so much for practices/hospitals that we should never accept anything less than full coverage, benefits, good salary, etc.

Edited by kittryn
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Kaitlin - most PAs assume that full coverage extends to everything they do and moon lighting too. As has been mentioned, you need to see a copy and first check if it is an Occurrence or Claims made. Huge difference in their meaning. Secondly, if your hospital is in charge of your policy, who are they going to defend first? The hospital, all its entities and physicians. You are last on their list of concerns and would be thrown under the bus for either of the others I mentioned. This is the reality of malpractice insurance.

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