| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||||||||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||||||||||||||
| NEBRASKA | |||||||||||||||||||||
| 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 | $1,330 | $1,358 | $1,400 | $1,750 | $1,792 | ||||||||||||||||
| Second | $2,470 | $2,522 | $2,600 | $3,250 | $3,328 | ||||||||||||||||
| Third | $3,230 | $3,298 | $3,400 | $4,250 | $4,352 | ||||||||||||||||
| Fourth | $3,610 | $3,686 | $3,800 | $4,750 | $4,864 | ||||||||||||||||
| Fifth | $3,800 | $3,880 | $4,000 | $5,000 | $5,120 | ||||||||||||||||
| Occurrence | $4,218 | $4,307 | $4,440 | $5,550 | $5,683 | ||||||||||||||||
| 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-NE(12/15/11) | |||||||||||||||||||||