| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | ||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | ||||||
| ILLINOIS | ||||||
| Territory 1 - Remainder of 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 | $2,993 | $3,056 | $3,150 | $3,938 | $4,032 | |
| Second | $5,558 | $5,675 | $5,850 | $7,313 | $7,488 | |
| Third | $7,268 | $7,421 | $7,650 | $9,563 | $9,792 | |
| Fourth | $8,123 | $8,294 | $8,550 | $10,688 | $10,944 | |
| Fifth | $8,550 | $8,730 | $9,000 | $11,250 | $11,520 | |
| Occurrence | $9,491 | $9,690 | $9,990 | $12,488 | $12,787 | |
| Territory 2- Champaign, Jackson, Macon, Sangamon & Vermillion | ||||||
| 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 | $4,190 | $4,278 | $4,410 | $5,513 | $5,645 | |
| Second | $7,781 | $7,944 | $8,190 | $10,238 | $10,483 | |
| Third | $10,175 | $10,389 | $10,710 | $13,388 | $13,709 | |
| Fourth | $11,372 | $11,611 | $11,970 | $14,963 | $15,322 | |
| Fifth | $11,970 | $12,222 | $12,600 | $15,750 | $16,128 | |
| Occurrence | $13,287 | $13,566 | $13,986 | $17,483 | $17,902 | |
| Territory 3 - Cook, DuPage,Kane, Lake ,Madison, McHenry, St. Clair & Will | ||||||
| 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 | $5,985 | $6,111 | $6,300 | $7,875 | $8,064 | |
| Second | $11,115 | $11,349 | $11,700 | $14,625 | $14,976 | |
| Third | $14,535 | $14,841 | $15,300 | $19,125 | $19,584 | |
| Fourth | $16,245 | $16,587 | $17,100 | $21,375 | $21,888 | |
| Fifth | $17,100 | $17,460 | $18,000 | $22,500 | $23,040 | |
| Occurrence | $18,981 | $19,381 | $19,980 | $24,975 | $25,574 | |
| 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-IL(11/22/10) | ||||||