Our values — perseverance, integrity and always putting the physician first — are important to us.
As a health care professional, purchasing professional liability insurance is the first step to becoming adequately protected from the risks that you might encounter in today’s litigious world. We can assist you in evaluating the risk of your ancillary staff and Professional Corporation.
When a claim does arise, we understand that it can be a frustrating and overwhelming time for physicians. As a PCA-insured, we strive to make sure you never feel alone.
We put the physician first during the claims process and maintain a hands-on approach. PCA is with you every step of the way to make sure you have a full understanding of and input during the claims management process. We are aggressive in your defense and are will fight back on your behalf.
- Rating – ‘A’ Exceptional
- Reinsurance by A rated Lloyds of London Member
- PCA Health Care Professional Liability Coverage Form
- Defense is in addition to Limits of Liability
- Consent to Settle – Company will not settle any claim without the Insured’s consent
- Definition of Claim – Broad
- Death, Disability – Free tail coverage after only one year of coverage.
- Retirement – Free tail coverage at 55 years of age and continuously insured with PCA for 60 months
- Sexual Abuse or Molestation – Defense provided, when allegations are coupled with malpractice
- Extended Reporting Endorsement – Tail coverage for unlimited years in Pennsylvania and three years in Michigan
Beyond Professional Liability Insurance
We know that there are times when a physician faces risks that go beyond medical malpractice. At PCA, we want you to know that we are here for you when that happens. As a PCA-insured, our staff is here for you.
Unruly client, contract reviews, and even the occasional personal situations with legal implications…as one of our insureds, we are here to help. Call our Claims Department and we will provide the guidance you need to navigate these circumstances. This is the type of white-glove service we like to provide.
We have helped our clients with:
- Contract reviews
- Joining a new practice
- Purchasing a business
- Advice on personnel
WHITE GLOVE SERVICE
We care about the physicians that we insure and are recognized as a company that offers a long term commitment to our clients. We want to learn from and grow with the needs of the community in the most effective way.
Call us at (610) 337-3374 • anytime you need immediate legal or professional advice • assistance is needed with an irate patient • seeking tips pertaining to patient safety • a patient has threatened malpractice or other action • you need to review Informed Consent documents or other protocols • employment issues arise in your office • you want to buy or join a practice.
Frequently Asked Questions
Click on the question to view answers to the most frequently asked questions about professional liability coverage for the physicians and health care providers.
A rating from A. M. Best is viewed as an indication of a carrier’s financial fitness. For that reason, PCA is currently involved in discussions to secure our own. However, the mere existence of a rating should neither be presumed to imply a guarantee of a company’s health nor an assurance that a carrier’s underwriting appetite will remain whatever it is at the moment. There are too many examples of “A” rated companies that either fell into bankruptcy or abandoned the marketplace altogether. For those reasons, an equally important examination should be the relationship of the carrier to its reinsurer(s).
The Association has always purchased reinsurance for its own account, as a hedge against catastrophic loss. Originally purchased on a quota-share basis, since 2008 that purchase has been made under an excess of loss arrangement. We have always partnered with highly rated reinsurers and that continues to be the case in 2014. Effective January 2014, SCOR Re and XL Re, both rated “A” by A. M. Best and “A+” by Standard & Poors, equally quota share our excess of loss treaty. Between them, they have policyholders’ surplus of more than $2.8 billion.
Our Claim professionals will certainly make assignment recommendations based on the jurisdiction where the allegation is being made as well as the type of case. But we always listen to our policyholders and, working from our approved panel, try to find a compatible match between physician and attorney.
Under PCA’s General conditions, Item 2, Settlement of Claims, the policy clearly states that “the Company will not settle any claim without the insured’s consent”. (Note – You should be aware of other policy forms in the market which appear to provide the same feature, but instead, significantly modify it. That is, the insured will be responsible for any amount above the value the carrier establishes as a settlement, in the event the insured withholds his or her consent. This is sometimes referred to as a “hammer clause”.)
Historically, PCA had only offered Claims Made coverage. But effective May of 2013, we introduced an Occurrence form and from that time forward, approximately six (6%) percent of our new business premium volume has been generated from the Occurrence product. And to round out our portfolio in this regard, we have also developed a conversion product (effective January 15, 2014) which will allow Claims Made policyholders to migrate over to an Occurrence policy form.
It certainly should not be overlooked. Because of all the Claims Made capacity available in the marketplace, there are not as many Tail purchases required as one might be lead to believe. But when making a Claims Made buying decision, it is important to know what Tail factors the contemplated carrier uses and whether their Tail is calculated from the premium on the policy (discounted) or from manual premium. PCA is one of the few carriers whose Tail charges are calculated from discounted premiums. The differences can be dramatic.
PCA policyholders have access to very aggressive claim and risk management services at no additional cost. However, insureds may also engage our risk management partner – EMMI Solutions – to supplement what is provided by PCA at the modest subscription cost of $750/physician annually. In return for completion of the annual program, PCA will provide a $1000 discount off the next year’s premium renewal. Preview what EMMI has to offer by using the following link: www.emmisolutions.com
The underwriting mission at PCA has been to help restore a level of confidence and stability for the Pennsylvania physician community. Our strategy, therefore, has been to establish a competitive but sustainable rating structure. We think we’ve been successful in this regard — our growth and results bear that out — and we do not foresee a scenario where we will either have to cease writing new business or pull out of a jurisdiction.