| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||
| MISSOURI | |||||||||
| 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 | $2,014 | $2,056 | $2,120 | $2,650 | $2,714 | ||||
| Second | $3,740 | $3,819 | $3,937 | $4,921 | $5,039 | ||||
| Third | $4,891 | $4,994 | $5,148 | $6,436 | $6,590 | ||||
| Fourth | $5,466 | $5,582 | $5,754 | $7,193 | $7,365 | ||||
| Fifth | $5,754 | $5,875 | $6,057 | $7,571 | $7,753 | ||||
| Occurrence | $6,387 | $6,522 | $6,723 | $8,404 | $8,606 | ||||
| Territory 2- St. Louis City & County, Kansas City, City of Joplin, Buchanan & Jackson County | |||||||||
| 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 | $3,357 | $3,427 | $3,533 | $4,417 | $4,523 | ||||
| Second | $6,234 | $6,365 | $6,562 | $8,202 | $8,399 | ||||
| Third | $8,152 | $8,323 | $8,581 | $10,726 | $10,983 | ||||
| Fourth | $9,111 | $9,303 | $9,590 | $11,988 | $12,276 | ||||
| Fifth | $9,590 | $9,792 | $10,095 | $12,619 | $12,922 | ||||
| Occurrence | $10,645 | $10,869 | $11,205 | $14,007 | $14,343 | ||||
| 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-MO(4/15/11) | |||||||||