| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||||||||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||||||||||||||
| MICHIGAN | |||||||||||||||||||||
| 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 | $2,000,000/6000,000 | ||||||||||||||||
| Year | |||||||||||||||||||||
| First | $2,660 | $2,716 | $2,800 | $3,500 | $3,584 | ||||||||||||||||
| Second | $4,940 | $5,044 | $5,200 | $6,500 | $6,656 | ||||||||||||||||
| Third | $6,460 | $6,596 | $6,800 | $8,500 | $8,704 | ||||||||||||||||
| Fourth | $7,220 | $7,372 | $7,600 | $9,500 | $9,728 | ||||||||||||||||
| Fifth | $7,600 | $7,760 | $8,000 | $10,000 | $10,240 | ||||||||||||||||
| Occurrence | $8,436 | $8,614 | $8,880 | $11,100 | $11,366 | ||||||||||||||||
| Territory 2- Macomb, Oakland & Wayne | |||||||||||||||||||||
| 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 | $6,650 | $6,790 | $7,000 | $8,750 | $8,960 | ||||||||||||||||
| Second | $12,350 | $12,610 | $13,000 | $16,250 | $16,640 | ||||||||||||||||
| Third | $16,150 | $16,490 | $17,000 | $21,250 | $21,760 | ||||||||||||||||
| Fourth | $18,050 | $18,430 | $19,000 | $23,750 | $24,320 | ||||||||||||||||
| Fifth | $19,000 | $19,400 | $20,000 | $25,000 | $25,600 | ||||||||||||||||
| Occurrence | $21,090 | $21,534 | $22,200 | $27,750 | $28,416 | ||||||||||||||||
| 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-MI(6/21/10) | |||||||||||||||||||||