| AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED | |||||||||||||||||||||
| PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM | |||||||||||||||||||||
| UTAH | |||||||||||||||||||||
| 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 | $1,540 | $1,573 | $1,622 | $2,027 | $2,076 | ||||||||||||||||
| Second | $2,861 | $2,921 | $3,011 | $3,764 | $3,855 | ||||||||||||||||
| Third | $3,741 | $3,820 | $3,938 | $4,923 | $5,041 | ||||||||||||||||
| Fourth | $4,181 | $4,269 | $4,401 | $5,502 | $5,634 | ||||||||||||||||
| Fifth | $4,401 | $4,494 | $4,633 | $5,791 | $5,930 | ||||||||||||||||
| Occurrence | $4,885 | $4,988 | $5,143 | $6,428 | $6,583 | ||||||||||||||||
| 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-UT(7/08/10) | |||||||||||||||||||||