| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | ||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | ||||||||
| TEXAS | ||||||||
| Territory 1 - Remainder of State | ||||||||
| Claims-Made | $200,000/600,000 | $250,000/750,000 | $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 | $2,481 | $2,547 | $3,142 | $3,208 | $3,308 | $4,134 | $4,234 | |
| Second | $4,607 | $4,730 | $5,835 | $5,958 | $6,143 | $7,678 | $7,862 | |
| Third | $6,024 | $6,185 | $7,631 | $7,792 | $8,033 | $10,041 | $10,282 | |
| Fourth | $6,733 | $6,913 | $8,529 | $8,708 | $8,978 | $11,222 | $11,491 | |
| Fifth | $7,088 | $7,277 | $8,978 | $9,167 | $9,450 | $11,813 | $12,096 | |
| Occurrence | $7,867 | $8,077 | $9,965 | $10,175 | $10,490 | $13,112 | $13,427 | |
| Territory 2 - Brazoria, Galveston, Harris, Jefferson, Montgomery, Cameron, Ft. Bend, Orange, Hidalgo, Zapata, Willacy & Starr | ||||||||
| Claims-Made | $200,000/600,000 | $250,000/750,000 | $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 | $3,308 | $3,396 | $4,190 | $4,278 | $4,410 | $5,513 | $5,645 | |
| Second | $6,143 | $6,306 | $7,781 | $7,944 | $8,190 | $10,238 | $10,483 | |
| Third | $8,033 | $8,247 | $10,175 | $10,389 | $10,710 | $13,388 | $13,709 | |
| Fourth | $8,978 | $9,217 | $11,372 | $11,611 | $11,970 | $14,963 | $15,322 | |
| Fifth | $9,450 | $9,702 | $11,970 | $12,222 | $12,600 | $15,750 | $16,128 | |
| Occurrence | $10,490 | $10,769 | $13,287 | $13,566 | $13,986 | $17,483 | $17,902 | |
| Territory 3 - Dallas, El Paso & Tarrant | ||||||||
| Claims-Made | $200,000/600,000 | $250,000/750,000 | $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 | $2,646 | $2,717 | $3,352 | $3,422 | $3,528 | $4,410 | $4,516 | |
| Second | $4,914 | $5,045 | $6,224 | $6,355 | $6,552 | $8,190 | $8,387 | |
| Third | $6,426 | $6,597 | $8,140 | $8,311 | $8,568 | $10,710 | $10,967 | |
| Fourth | $7,182 | $7,374 | $9,097 | $9,289 | $9,576 | $11,970 | $12,257 | |
| Fifth | $7,560 | $7,762 | $9,576 | $9,778 | $10,080 | $12,600 | $12,902 | |
| Occurrence | $8,392 | $8,615 | $10,629 | $10,853 | $11,189 | $13,986 | $14,322 | |
| 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 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 the 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-TX(6/21/10) | ||||||||