Insurance Program Results

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Imaging Centers: Picture a Competitive Market

Crittenden expects that diagnostic imaging centers’ decade-long trend of low claims will continue will result in flat pricing through the rest of this year. Lower combined ratios and technological advances have made imaging centers a relatively low-risk segment. Claims haven’t changed much with three quarters of the claims each year related to diagnosis errors. The rest generally relate to a radiologist’s failure to communicate or procedural complications. Breast cancer was the most frequently missed diagnosis, followed by non-vertebral fractures and spinal fractures.

CNA has been a major player in this segment during the past decade, running up against Arch, OneBeacon, MedPro Group, Markel, AIG and Ironshore. CNA writes imaging centers with limits up to $15 million and has kept rates flat since 2008. Coverage extends to portable and mobile imaging units and multi-state operations. OneBeacon’s radiology and imaging appetite includes MRI, CT and PET scan facilities and sonogram and X-ray labs. The carrier offers separate towers for professional and general liability coverage with $5 million limits and $10 million excess available for each. Allied World’s Diagnostic Imaging Center coverage supports limits of $1 million/$3 million that include $100,000/$300,000 in employment practices liability for centers with fewer than 50 employees. Premiums begin at $7,500.

Copyright © Crittenden Research Inc., April 20, 2015

Beazley Breach Response Select

Administered By: Beazley

Distribution: Direct/Broker

Industries:

Accountable Care Organizations (ACOs), Acupuncturist, Allied Health, Art Galleries/Fine Art/Museums/Antique Dealers, Assisted Living Facilities, Chiropractors, Civic Clubs (Nonprofit), Colleges & Universities, Continuing Care Retirement Communities (CCRCs), Day Spas, Dentists, Education & Nonprofit, Emergency Response Services (Ambulance), Gastroenterologist, Health Maintenance Organization (HMO), Healthcare Systems, Hospice, Hospitality (Hotels/Motels), Hospitals, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Independent Living Facilities, Laboratories, Lawyers, Long-Term Care Facilities (LTC), Managed Care Organizations, Massage Therapy/Therapists, Mental Health/Behavioral (Counseling/Counselors), Midwives, Non Emergency Transportation (Medical), Nurse/Staffing Registries, Nursing Homes/Skilled Nursing Facilities, Opticians, Pharmacies, Pharmacists, Physicians, Podiatrists, Private/Charter Schools, Psychiatric Facilities/Hospitals, Psychologists, Rehabilitation Facilities, Research/Research Organizations (Clinical, Etc.), Retail, Schools, Schools (Adult Education), Substance Abuse Rehabilitation Facilities & Services, Surgeons, Therapy/Therapists, Weight Loss Clinics

Carriers: Beazley Insurance Co. Inc.

Coverage: Cyber Liability, Excess, Umbrella/Excess

Limits: up to $5 million

Healthcare Services Insurance

Administered By: MagMutual Insurance

Distribution: Carrier Direct

Industries:

Ambulatory Surgery Centers (ASCs), Dialysis Centers, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Laboratories

Carriers: MAG Mutual Insurance Co.

Coverage: Professional Liability

Limits: Limits - vary.

Miscellaneous Medical (Small Business/Private Enterprise)

Administered By: Beazley

Distribution: Direct/Broker

Industries:

Acupuncturist, Adult Day Care, Allied Health, Audiologists, Behavioral/Mental Health Organizations, Dialysis Centers, Emergency Response Services (Ambulance), Fitness Professionals, Home Healthcare, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Massage Therapy/Therapists, Medical Clinics/Infirmaries, Medical Labs, Mental Health/Behavioral (Counseling/Counselors), Nurses, Nurses (Visiting), Nutritionist/Dietitian, Occupational Therapist, Optometrists, Pharmacies, Psychologists, Social Services, Speech Therapy/Therapists, Substance Abuse Rehabilitation Facilities & Services, Therapy/Therapists

Carriers: Beazley Insurance Co. Inc.

Coverage: Cyber Liability, Employee Benefits Liability, General Liability, Privacy Liability/Notification Expense, Products Liability, Professional Liability

Limits: up to $11 million (Aggregate Limit), up to $1 million (Employee Benefits Liability), up to $1 million/$3 million (Professional/General Liability), up to $1 million (Privacy Liability), up to $1 million/$3 million (Products Liability)

Allied Health

Administered By: PPIB

Distribution: MGU

Industries:

Adoption/Foster Services & Facilities, Allied Health, Ambulatory Surgery Centers (ASCs), Audiologists, Cancer Treatment Centers, Dialysis Centers, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Medical Labs, Mental Health/Behavioral (Counseling/Counselors), Nutritionist/Dietitian, Occupational Therapist, Physicians (Nonstandard), Social Services, Speech Therapy/Therapists

Carriers: Lloyd's of London

Coverage: General Liability, Professional Liability

Limits:

Medical Lab & Clinics Ins

Administered By: PPIB

Distribution: MGU

Industries:

Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Medical Labs

Carriers: Lloyd's of London

Coverage: Professional Liability, Workers' Compensation

Limits: Call for - Limits

Allied Health Centers

Administered By: Hanover Insurance Group

Distribution: Carrier Direct

Industries:

Allied Health, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Occupational Therapist, Pharmacies, Sleep Clinics, Therapy/Therapists

Carriers: Hanover Insurance Group Inc.

Coverage: Excess, General Liability, Professional Liability, Umbrella/Excess

Limits: - - - (Multiple limit options available )

Health Care Facilities Policy

Administered By: NORCAL Group

Distribution: Direct/Broker

Industries:

Ambulatory Surgery Centers (ASCs), Dialysis Centers, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Laboratories, Urgent Care

Carriers: NORCAL Mutual Insurance Co.

Coverage: Professional Liability

Limits:

Healthcare

Administered By: CapSpecialty

Distribution: MGU

Industries:

Ambulatory Surgery Centers (ASCs), Blood/Tissue Banks, Clinical Trials, Federal Tort Claims Act Clinics, Home Healthcare, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Medical Labs, Medispas, Nurse/Staffing Registries, Pharmacies, Research/Research Organizations (Clinical, Etc.), Urgent Care

Carriers: Capitol Specialty Insurance Corp.

Coverage: Professional Liability, Regulatory Liability

Limits: up to $11 million

Hospitals & Facilities

Administered By: Physicians Reciprocal Insurers

Distribution: Carrier Direct

Industries:

Ambulatory Surgery Centers (ASCs), Colleges & Universities, Community Health Centers, Dialysis Centers, Home Healthcare, Hospitals, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Rehabilitation Facilities, Schools, Substance Abuse Rehabilitation Facilities & Services

Carriers: Physicians' Reciprocal Insurers

Coverage: Excess, General Liability, Professional Liability, Umbrella/Excess

Limits: $1,000,000 - $3,000,000 (Primary or Excess)

Medical Facilities (non-hospital)

Administered By: TDC Specialty Underwriters

Distribution: Carrier Direct

Industries:

Ambulatory Surgery Centers (ASCs), Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Labs, Urgent Care

Carriers: TDC Specialty Insurance Co.

Coverage: General Liability, Professional Liability

Limits: up to - $15 million (Excess), up to - $1/3 million $2/4 million (Primary)

Medical Professional Liability

Administered By: Markel

Distribution: Direct/Broker

Industries:

Allied Health, Alternative Medicine, Ambulatory Surgery Centers (ASCs), Behavioral/Mental Health Organizations, Blood/Tissue Banks, Community Health Centers, Cosmetic Surgeons/Aesthetic Professionals, Home Healthcare, Hospice, Hospitals, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Medispas, Nurse/Staffing Registries, Occupational Therapist, Pharmacies, Physical Therapists, Physicians (Locum Tenens), Senior Living Facilities, Sleep Clinics, Urgent Care, Weight Loss Clinics

Carriers: Markel Corp.

Coverage: Excess, General Liability, Professional Liability, Umbrella/Excess

Limits: up to $25 million (Umbrella/Excess), up to $5 million (Primary)

Medical Umbrella

Administered By: Markel

Distribution: Direct/Broker

Industries:

Blood/Tissue Banks, Clinical Trials, Clinics/Infirmaries (Correctional Health), Emergency Response Services (Ambulance), Home Healthcare, Hospitals, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Nurse/Staffing Registries, Occupational Therapist, Pharmacies, Physical Therapists, Social Services

Carriers: Markel Corp.

Coverage: Umbrella/Excess

Limits: up to $25 million

Miscellaneous Medical Facilities

Administered By: Ironshore

Distribution: Direct/Broker

Industries:

Adoption/Foster Services & Facilities, Adult Day Care, Allied Health, Ambulatory Surgery Centers (ASCs), Bariatric Surgery, Behavioral/Mental Health Organizations, Blood/Tissue Banks, Cancer Treatment Centers, Community Health Centers, Cosmetic Surgeons/Aesthetic Professionals, Dialysis Centers, Emergency Response Services (Ambulance), Home Healthcare, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Laboratories, Nurse/Staffing Registries, Pharmacies, Physical Therapists, Rehabilitation Facilities, Substance Abuse Rehabilitation Facilities & Services, Urgent Care, Weight Loss Clinics

Carriers: Ironshore Inc.

Coverage: Employee Benefits Liability, Excess, General Liability, Hired & Non-Owned Auto, Professional Liability

Limits: up to $1 million/$3 million (Primary), up to $10 million (Follow-Form Excess)

Allied Health Facilities

Administered By: Pioneer Special Risk

Distribution: MGU

Industries:

Allied Health, Blood/Tissue Banks, Clinical Trials, Community Health Centers, Home Healthcare, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Labs, Nurse/Staffing Registries, Pharmacies, Physical Therapists, Schools

Carriers: Lloyd's of London

Coverage: Commercial Auto (Hired & Non-Owned), General Liability, Professional Liability

Limits: $100,000/$300,000 - $5 million/$5 million (Primary), $1 million/$1 million - $5 million/$5 million (Follow-Form Excess)

Allied Health Program

Administered By: VGM Specialty Underwriters

Distribution: MGU

Industries:

Acupuncturist, Allied Health, Dialysis Centers, Home Healthcare, Home Medical Equipment, Hospice, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Massage Therapy/Therapists, Medical Labs, Pharmacies, Physical Therapists, Social Services, Substance Abuse Rehabilitation Facilities & Services, Therapy/Therapists, Weight Loss Clinics

Carriers: United Specialty Insurance Co.

Coverage: Abuse & Molestation Liability, Employee Benefits Liability, General Liability, Hired & Non-Owned Auto, Professional Liability, Regulatory Liability, Stop Gap Liability

Limits: up to $5 million/$7 million, up to $1 million/$1 million (Sublimits for Abuse or Hired/Nonowned Auto)

Allied Healthcare

Administered By: Huntersure LLC

Distribution: MGA

Industries:

Acupuncturist, Adult Day Care, Allied Health, Audiologists, Chiropractors, Emergency Medical Technicians (EMTs), Emergency Response Services (Ambulance), Home Healthcare, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Massage Therapy/Therapists, Medical Labs, Non Emergency Transportation (Medical), Nurse Practitioners, Nurse/Staffing Registries, Nurses, Nurses (CRNA), Nutritionist/Dietitian, Occupational Therapist, Opticians, Pharmacies, Physical Therapists, Physician Assistants, Speech Therapy/Therapists, Veterinarians/Veterinary Risks

Carriers: Chaucer plc

Coverage: Abuse & Molestation Liability, General Liability, Professional Liability

Limits: up to $3 million/$6.4 million

Allied Medical

Administered By: JaVA Underwriting

Distribution: MGU

Industries:

Allied Health, Ambulatory Surgery Centers (ASCs), Audiologists, Community Health Centers, Counseling (Marriage & Family), Dialysis Centers, Emergency Medical Technicians (EMTs), Home Healthcare, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Clinics/Infirmaries, Nurses, Occupational Therapist, Pharmacies, Physical Therapists, Physician Assistants, Psychologists, Speech Therapy/Therapists

Carriers: Lloyd's of London

Coverage: General Liability, Hired & Non-Owned Auto, Professional Liability

Limits: $100,000/$300,000 - $5 million

Allied & Miscellaneous Program

Administered By: PRA Mid-Continent Underwriters

Distribution: MGA

Industries:

Adult Day Care, Allied Health, Ambulatory Surgery Centers (ASCs), Audiologists, Behavioral/Mental Health Organizations, Counseling (Marriage & Family), Dialysis Centers, Emergency Medical Technicians (EMTs), Fitness Professionals, Freestanding Medical Facilities, Home Healthcare, Home Medical Equipment, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Massage Therapy/Therapists, Medical Clinics/Infirmaries, Medical Directors, Medical Labs, Mental Health/Behavioral (Counseling/Counselors), Non Emergency Transportation (Medical), Nurse Practitioners, Nurse/Staffing Registries, Nurses, Occupational Therapist, Opticians, Physical Therapists, Physician Assistants, Psychologists, Social Workers, Speech Therapy/Therapists, Substance Abuse Rehabilitation Facilities & Services

Carriers: ProAssurance Group

Coverage: Abuse & Molestation Liability, Employee Benefits Liability, General Liability, Hired & Non-Owned Auto, Professional Liability

Limits: up to $5 million/$7 million (Primary Limits)

Miscellaneous Medical Professional

Administered By: Admiral Insurance Group

Distribution: Direct/Broker

Industries:

Allied Health, Cancer Treatment Centers, Emergency Response Services (Ambulance), Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Laboratories, Medical Clinics/Infirmaries, Medispas, Mental Health/Behavioral (Counseling/Counselors), Nurse Practitioners, Nurse/Staffing Registries, Occupational Therapist, Physician Assistants, Psychologists, Radiology/Radiologists, Research/Research Organizations (Clinical, Etc.), Therapy/Therapists, Urgent Care

Carriers: Admiral Insurance Co.

Coverage: Excess, General Liability, Professional Liability, Umbrella/Excess

Limits: up to $5,000,000 (Primary and Excess)

Allied Health

Administered By: Sapphire Blue

Distribution: MGU

Industries:

Allied Health, Clinics/Infirmaries (Correctional Health), Emergency Response Services (Ambulance), Freestanding Medical Facilities, Imaging Centers/Diagnostic Labs (X-Ray, MRI, etc.), Medical Labs

Carriers: Amlin plc, Chaucer plc, Lloyd's of London

Coverage: Professional Liability

Limits: $1 million Per claim - $3 million Aggregate (Primary), up to $5,000,000 (Excess)