AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED

PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM

KANSAS

Territory 1 - Entire State - Limits of Liability:  $200,000/$600,000

Claims-Made Year

Year 1

Year 2

Year 3

Year 4

Year 5 +

$1,670

$3,102

$4,056

$4,534

$4,772

Occurrence

$5,297

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 (MIT) discount: A 50% discount if you are classified as a MIT by the

American Psychiatric Associaton.

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-KS(12/20/10)