AMERICAN PSYCHIATRIC ASSOCIATION ENDORSED

PSYCHIATRIST PROFESSIONAL LIABILITY PROGRAM

WISCONSIN

Territory 1 - Entire State

Claims-Made

$1,000,000/3,000,000

$2,000,000/4,000,000

$2,000,000/6,000,000

Year

First

$2,573

$3,216

$3,293

Second

$4,778

$5,972

$6,115

Third

$6,248

$7,809

$7,997

Fourth

$6,983

$8,728

$8,938

Fifth

$7,350

$9,188

$9,408

Occurrence

$8,159

$10,198

$10,443

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 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 servic 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-WI(12/14/10)