9 February 2016 Insurance

Integro launches professional liability/E&O cover

Global insurance brokerage and risk management firm Integro has launched a professional liability/errors and omissions (E&O) insurance coverage designed to protect healthcare institutions with self-insured professional liability programmes from claims handling exposures inherent in adjusting medical malpractice claims.

The new product, with limits of up to $5 million in the aggregate, offers protection for healthcare entities and its claim staff against claims alleging bad faith, deceptive claims practices and failure/negligence in providing professional services of claims handling, adjusting and underwriting. It is underwritten by Cove Program Underwriters (backed 100 percent by certain Lloyd’s syndicates).

“We have seen a proliferation of litigation activity against healthcare clients and their claims staff,” said Ruth Kilduff, leader of Integro’s healthcare practice.

“The precipitating factor quite often is that an individual defendant may not have sufficient limits available. Such defendant may then bring a claim against the entity that handled the claim.”

Scott Simmons, US professional liability and management liability underwriter, Cove Program Underwriters, added: “This product has been designed to address growing exposures faced by healthcare entities self-insuring.

“In a sector that continues to see mergers and acquisition activity, the heightened exposure faced by those with in-house claims and underwriting functions increases.”

Healthcare entities at risk, according to Integro, include those that are self-insured to some degree for professional liability, regardless of the form of the self-insurance; self-administering its claims and /or underwriting programme; and acquisitive - the merging of insurance programmes may result in disjointed claims handling functions and philosophies and disparate limits.

Those that provide coverage for non-employed or third party physicians and clinicians are also at risk, according to the firm. It said such organisations may often be viewed by its insureds as a true insurance company rather than a self-insurance programme and, therefore, are more susceptible to allegations of bad faith.

“Bad faith and negligent claims management claims are often highly complex and involve sophisticated issues,” said Paul Fleming, managing principal, Integro Healthcare UK.

“Cove’s underwriters have specialised in similar products and exposures for more than 15 years, and provide the deep experience and expertise to resolve them expeditiously to clients’ benefit."

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