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Claims Made Riders and Endorsements

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So how do we address this issue about the claims made

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policies which expire and then you get sued

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after the claims made Policy is no longer in effect.

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Well, this is where you have these extras that I refer to

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the tail, which is called the extended reported period.

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It allows you to extend the coverage period

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beyond even when you've retired.

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So for claims made

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after the termination of coverage by an insurer.

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So remember you had a 2024 event that was, uh, sued.

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You get sued in 2026.

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If your policy is only to 2026

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and the suit arrives at 2028,

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you're not covered in claims made unless you have a tail.

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If you have a tail, you could extend that

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for an extra five years

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and the coverage for the tail gets more

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and more expensive depending upon how long you want

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that tale to last.

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So for example, in the first year

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after the claims made policy has expired,

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they're gonna charge you 74.8.

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But if you extend it for two years

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after the end of the policy, 122% of the

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original premium, if you go as high as five years,

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your premium for that tail will often be two

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and a half times the,

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uh, original policy premium.

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So it's expensive, but it covers you.

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It's important for people who are retiring

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or if you change jobs

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and you leave behind the policy,

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your new job may not cover you for

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what you did in your previous job.

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So you have to buy the tail.

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So this is provided by the carrier

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that you've left the insurer

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that you no longer are using either because of retirement or

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because you switch insurers.

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The other thing is, uh, another term

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that's used is the nose.

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So the nose is for claims made on activity prior

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to the initiation of coverage by a new

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or subsequent insurer.

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So this is the new insurer will pick up

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your mistakes from the previous years

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of employment in which you had a different

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malpractice insurance

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where we're in a different practice setting.

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So it's provided by the new insurance company

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for the prior acts, while under a previous

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coverage for claims made.

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So this is what's known as the nose

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and includes this retroactive date

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that your policy started in 2026 with the new insurer,

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but they're covering back to 2021 with the retroactive date.

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The alternative of having a tail is

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what I explained previously, which was a claims paid policy,

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which you can specify for a period of time when paid,

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when claims are paid out regardless

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of when the incident occurred.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Michael A. Bruno, MD, FACR, MS

Professor of Radiology & Medicine, Vice Chair for Quality and Chief of Emergency Radiology

Penn State University

Tags

Non-Clinical