| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||||||||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||||||||||||||
| ARIZONA | |||||||||||||||||||||
| Territory 1 - Entire State | |||||||||||||||||||||
| Claims-Made | $500,000/1,500,000 | $1,000,000/1,000,000 | $1,000,000/3,000,000 | $2,000,000/4,000,000 | $2,000,000/6,000,000 | ||||||||||||||||
| Year | |||||||||||||||||||||
| First | $2,688 | $2,745 | $2,830 | $3,537 | $3,622 | ||||||||||||||||
| Second | $4,992 | $5,098 | $5,255 | $6,569 | $6,727 | ||||||||||||||||
| Third | $6,529 | $6,666 | $6,872 | $8,590 | $8,796 | ||||||||||||||||
| Fourth | $7,297 | $7,450 | $7,681 | $9,601 | $9,831 | ||||||||||||||||
| Fifth | $7,681 | $7,842 | $8,085 | $10,106 | $10,349 | ||||||||||||||||
| Occurrence | $8,526 | $8,705 | $8,974 | $11,218 | $11,487 | ||||||||||||||||
| PREMIUM DISCOUNTS: | |||||||||||||||||||||
| Part-time discount: A 50% discount if you practice 20 hours or less a week. | |||||||||||||||||||||
| New doctor discount: A 25%-50% discount if you qualify as a new doctor. | |||||||||||||||||||||
| Member in Training discount (MIT): A 50% discount if you are classified as a MIT by the American Psychiatric Association. | |||||||||||||||||||||
| Child and Adolescent discount: A 15% discount if your practice consists of more than 50% children and adolescents. | |||||||||||||||||||||
| Claims-free discount: A 10% discount if you have been claims-free for more than 10 years. | |||||||||||||||||||||
| New business discount: A 10% discount if you are applying to the Company for the first time and have been claims-free for the last six months. | |||||||||||||||||||||
| Risk Management discount: A 5% discount for completion of risk management courses approved by the Company. | |||||||||||||||||||||
| Purchasing Group Fee: Coverage is written through the Professional Counselors Purchasing Group. There is a $5.00 administrative fee | |||||||||||||||||||||
| assessed to each policy. Please include this in your payment. | |||||||||||||||||||||
| Group policies: If you are interested in group coverage, please contact us at 1-800-421-6694 and we will be happy to assist you. | |||||||||||||||||||||
| Quarterly payments: Quarterly payments are available if the annual premium is $1,000 or more. If you wish to pay quarterly, please remit | |||||||||||||||||||||
| 35% of the premium (rounded to the nearest dollar). | |||||||||||||||||||||
| DAR-ADUL-AZ(6/29/10) | |||||||||||||||||||||