- Coverage requirements vary by jurisdiction and profession.
- Claims-made and occurrence structures differ.
- The policy’s retroactive date can be critical.
- Tail coverage can become important after certain policy changes.
- Prior acts coverage should be understood.
- Policy limits should be evaluated against realistic exposure.
- Defense costs may interact with limits.
- Consent-to-settle provisions can matter.
- The insurer’s claims-handling reputation deserves investigation.
- Individual and institutional coverage can differ.
- Employees and contractors may have different coverage arrangements.
- Multiple locations may create additional considerations.
- Specialty-specific risks can vary dramatically.
- Surgical specialties can have different exposure profiles from other specialties.
- Telemedicine can introduce additional questions.
- Multi-state practice can complicate coverage.
- Licensure changes should be disclosed.
- Practice changes should be reported.
- Policy exclusions deserve close examination.
- Regulatory proceedings may not receive the same treatment as malpractice claims.
- Cyber coverage is generally a separate consideration.
- Don’t assume the hospital’s insurance protects every independent physician.
- Ask what happens when you retire or leave a practice.
- Compare tail-cost exposure when comparing claims-made policies.
- A low premium can become expensive if the policy leaves a major coverage gap.
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