| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||||||||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||||||||||||||
| OHIO | |||||||||||||||||||||
| 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 | $2,036 | $2,078 | $2,143 | $2,678 | $2,743 | ||||||||||||||||
| Second | $3,780 | $3,860 | $3,979 | $4,974 | $5,094 | ||||||||||||||||
| Third | $4,944 | $5,048 | $5,204 | $6,505 | $6,661 | ||||||||||||||||
| Fourth | $5,525 | $5,641 | $5,816 | $7,270 | $7,444 | ||||||||||||||||
| Fifth | $5,816 | $5,938 | $6,122 | $7,653 | $7,836 | ||||||||||||||||
| Occurrence | $6,456 | $6,592 | $6,795 | $8,494 | $8,698 | ||||||||||||||||
| Territory 2- Cuyahoga, Geauga, Lake, Lorain, Medina & Summit | |||||||||||||||||||||
| 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 | $2,714 | $2,771 | $2,857 | $3,571 | $3,657 | ||||||||||||||||
| Second | $5,040 | $5,146 | $5,305 | $6,632 | $6,791 | ||||||||||||||||
| Third | $6,591 | $6,730 | $6,938 | $8,672 | $8,880 | ||||||||||||||||
| Fourth | $7,366 | $7,521 | $7,754 | $9,692 | $9,925 | ||||||||||||||||
| Fifth | $7,754 | $7,917 | $8,162 | $10,203 | $10,447 | ||||||||||||||||
| Occurrence | $8,607 | $8,788 | $9,060 | $11,325 | $11,597 | ||||||||||||||||
| 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-OH(8/1/10) | |||||||||||||||||||||