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COMPARISON GUIDETO MARYLAND MEDICAL PROFESSIONAL LIABILITY INSURANCE RATESINSURANCE ADMINISTRATIONAs of October 1, 2021

Comparison Guide to MarylandMedical Professional Liability Insurance RatesHow to Shop for Medical Professional LiabilityInsurancesure to ask the insurer when the deductible applies. If you select ahigh deductible, you will pay more out of your own pocket for aclaim; however, your premium should be lower as a result.Do comparison shopping. Comparison shopping is the key togetting the most for your insurance dollar and this is as true withregard to medical professional liability insurance as it is with otherlines of insurance. You should contact several insuranceproducers (agents or brokers) and ask them which insurers theyrepresent and what your premium would be for insurance througheach company. You may want to ask co-workers and businesscontacts for recommendations or referrals to a licensed producer.The best time to shop for insurance is well before your currentpolicy expires, you change or begin your practice, open or relocateyour facility.Pursuant to Section 19-114 of the Insurance Article, insurers arerequired to offer deductibles in the amount of 25,000, 50,000and 100,000. Please note that these specific statutorily requireddeductible offerings may be applied only to the liability coverageprovided by the policy and not to any other obligations orcoverages, including defense costs. However, the insurer maycancel your policy for nonpayment of the deductible in the eventthe deductible is due and payable under the policy. By law, theinsurer must provide you with a 10-day notice of cancellation ifthe premium is not paid by the due date.Defense Coverage for Disciplinary Hearings. Section 19-104 ofthe Insurance Article provides that a Medical ProfessionalLiability Policy may include coverage for the defense of a healthcare provider in a disciplinary hearing arising out of the practice ofthe health care provider's profession if the cost of the includedcoverage is:Ask for price quotes. In order to make an "apples to apples" pricecomparison, you must provide the same information to eachinsurance producer.Ask for discounts. To keep rates down, ask what discounts theinsurer offers and how you can qualify for them. Some insurersmay offer discounts such as new practitioner discounts, part-timediscounts, risk management program discounts, or governmentemployee discounts.- itemized in the billing statement, invoice, or declarations pagefor the policy; and- reported to the Commissioner in a form and manner required bythe Commissioner.Ask about deductibles and the required deductible offers. Adeductible is the amount you agree to be responsible for in theevent of a claim before the insurer required to make payments onyour behalf. Deductibles may apply to liability coverage only orto other obligations or coverages, including defense costs, so beInsurers may also offer a separate stand-alone policy with thiscoverage.1

Protect yourself from insurance fraud. Once you have selectedthe insurer, contact the Maryland Insurance Administration("MIA") to verify that your producer is placing you with an insurerthat is licensed to sell medical professional liability insurance inthe state. It is illegal for unlicensed insurance producers orinsurers to sell insurance. You can get this information atwww.statebasedsystems.com.What Factors Impact Rates?Insurers determine rates based on the experience of their book ofbusiness and other factors that affect the ultimate amount of thepremium charged to you. These rates are then classified byspecialty or groups of specialties.Other factors that impact premiums paid by physicians/healthcareproviders:Surplus Lines Carriers and Risk Retention Groups. SurplusLines Carriers and Risk Retention Groups usually specialize in theunderwriting of certain specialties or physicians which licensedinsurers will not write. Surplus Lines Carriers and Risk RetentionGroups are not included in this Rate Comparison Guide, as thesetypes of insurers do not have uniform rating structures andindividual physicians are rated on an individual basis. Thus,providing premiums in a comparison guide is not feasible. Pleasenote that if you are insured by a Surplus Lines Carrier or a RiskRetention Group, you are not protected by the Property andCasualty Insurance Guaranty Corporation; nor are you eligible fora premium subsidy under Section 19-801 et seq. of the InsuranceArticle. 2Location of practiceLimits of liabilityLength of extended reporting periodClaims experience

How to Use this GuideNotes to Rate Tables:1. Find the Rate Table that most closely reflects your area ofpractice or facility: Table 1 - Physicians by Specialty Table 2 - Surgeons by Specialty Table 3 - Psychiatrists and Related Specialties Table 4 - Various Nursing classes, PhysiciansAssistants Table 5 - Optometrists, Pharmacists, Chiropractors,Podiatrists, Psychologists Table 6 - Dentists, Dental Surgeons and other DentalHealthcare Professionals Tables 7.1, 7.2, 7.3 and 7.4 - Medical Facilities andcenters, hospice care programs, assisted livingprograms, ambulatory care facilities, rehabilitationfacilities and specialized facilities Tables 8.1, 8.2 and 8.3 – Various medical techniciansand assistants, medical records technicians, therapists2. Determine the territory where your practice or facility islocated: Baltimore City and Baltimore County Anne Arundel, Howard, Montgomery, and PrinceGeorge's Counties Rest of StateThroughout this guide, you will notice various specialties andspecialty descriptions. These descriptions may vary by insurer andthere may not be comparable premiums among insurers for yourparticular specialty. You will need to contact the insuranceproducer to determine which classification is available for yourspecialty.You may notice that some specialties are not listed and this isbecause either the insurers do not write these specialties or theyare only written by surplus lines insurers or risk retention groups.Additionally, some specialties may not be found because they arerelatively new specialties and may be included in a more generalclass description.The premiums shown for each specialty are base premiums byterritory for policy limits of 1,000,000 per incident / 3,000,000annual aggregate based upon mature claims-made rates, with aclean claims history, in effect on October 1, 2011.Premiums shown in this guide do not account for other variables;such as any discounts for which you may qualify or anydeductibles you may choose. Also, the premiums do not take intoaccount where an insurer rates a specialty on multiple rate levelsbased on exposures. Because individual circumstances may vary,it is not possible to provide the exact amount of your premium forany one insurer. Some medical professionals may pay actualpremiums less than or greater than those provided in this guide,based on their individual circumstances. If you would like toidentify how your final premium will be determined, you shouldcontact your insurance producer.3. Compare the companies and premiums shown on the RateTable.Please note that the premiums listed in this Rate ComparisonGuide reflect a mature physician with a clean claims history andlimits of 1,000,000/ 3,000,000. Thus, the premium you arequoted may differ from that which is listed in this guide.Note: Rates and Availability are subject to change by theinsurers3The premiums shown in this guide are mostly on a claims-madebasis. However, a few insurers write certain healthcareprofessional liability policies on an occurrence basis. Whenbuying a policy, please make sure whether your policy is on aclaims-made or an occurrence basis.

Class B Employed and e Care ObstetricsList of Tables and related notes:Note: "n/a" found in the tables indicates that insurers do not haverates available for that particular specialty, as their underwritingstandards do not permit them to provide coverage for thatparticular exposure. In addition, some insurers rate certainspecialties with multiple rate levels based on exposure – not allrate levels are shown.Class C Employed and Self-Employed:Pediatric/Neonatal/Family Practice/Acute Critical CareClass D Employed and Self-Employed: PsychiatricOnly Class A rates are listed. Refer to insurer for Classes Bthrough D, as they may vary.Please refer to the attached exhibit for a table showingabbreviations that are used for insurer names through thisguide.The differences between Physician Assistant classes are asfollows:Class 1 - A physician assistant who performs tasks ordinarilyreserved for a physician/ works under the direction andsupervision of a qualified licensed physician to assist thephysician in the diagnostic management of patients.Table 1 Physicians (no surgery) by SpecialtyTable 2 Surgeons by SpecialtyTable 3 Psychiatrists and Related Specialties:Class 2 - A physician assistant who is involved in one or more ofthe following, but also limited to such responsibilities:Table 4 Various Nursing Classes and Physician Assistants:1. Assisting in Surgery - Exposure to an operating room otherthan for observation with General Practitioner/Family Practiceor General Surgeon; may or may not include other surgicalspecialties.2. Any exposure to Trauma/Emergency room procedures orresponsibilities thereof (10 -15 hours or less a week);3. OB exposure limited to prenatal or postnatal care; and4. Assisting in anesthesiology, or other surgical procedures."RTC” (Refer to Insurer) - Contact insurer for eligibility,available rates"Shared limits" - Refer to insurer for availability andeligibilityFor Nurse Practitioners, the following classes are defined asfollows:Class A Employed and Self-Employed:Adult/Geriatric/Family Planning/Gynecology/Women'sHealth/Adult Oncology4

Class 3 - A physician assistant who may be involved in any of thefollowing; but can also be rated as a physician surgical assistant:Tables 8.1, 8.2 and 8.3 Various medical technicians andassistants, medical records technicians, therapists1. Assisting in Surgery - Exposure to an operating room otherthan for observation. Surgeons include Orthopedic Surgeon,Cardiovascular Surgeon, Thoracic Surgeon, Neurosurgeon toname a few.2. Any exposure to Trauma/Emergency room procedures orresponsibilities thereof (more than 10 -15 hours a week);3. Exposure to OB including delivery room responsibilities;and4. Any other major surgical procedures.Table 9 Current Practice on Acceptance of New and RenewalBusinessTable 10 Insurer Phone Numbers and Web SitesNote: The above descriptions are generic and insurers may havesomewhat different definitions.Only Class 1 rates are shown. Refer to insurer for classes 2 and3, as they may vary.Table 5 - chologist:Table 6 Dentists, Dental Surgeons, and other Dental healthcareprofessionals:Tables 7.1, 7.2 , 7.3 and 7.4 Medical Facilities and centers,hospice care programs, assisted living programs, ambulatory carefacilities, rehabilitation facilities and specialized facilitiesStatewide rates are provided for certain facility classifications;however, please contact the insurer for the rating basis for yourparticular facility, as this varies by class/exposure.5