BREAKTHROUGH

 

Program Overview

Mike Suter, CPCU

CA Liccense #0604460

October 2016 

LOWER MALPRACTICE PREMIUMS

FOR

SPECIALIST SOLO PRACTITIONERS

 

Excessive Premiums; pages 2 - 14

 

Our Solution; pages 15-37

 

More Prospects; pages 38

CONTENTS

YOUR PREMIUMS ARE 50% HIGH...!

 

80% CLAIMS DISMISSED 

 

Only 4.5% of claims to jury verdict

 

79.6% verdicts FAVOR physicians

 

 

EXCESSIVE PREMIUMS

 

59% Loss Ratio

 

2006 to 2015

 

 

32% LOSS RATIO

2006 TO 2015

 

INDUSTRY SURPLUS 

 

 

 

 

UP 40%  LAST 5 YEARS

WHY IS SURPLUS 2-3x REQUIRED?

EXAMPLE 2015:

$7.2 Billion Premiums

$342 Million Dividends

6% DIVIDENDS  NOT ENOUGH

 

Underwriting profits 10 years in row...!

 

 

 

 

 

 

 

 

x11

FEWER INSURERS = HIGHER RATES

 

EXAMPLE

23 INSURER ACQUISITIONS 

2006 - 2012

PHYSICIANS IN CALIFORNIA LOSE SCPIE; #3 INSURER

DOCTORS CO. ACQUIRES SCPIE 

Scpie 2007:

Annual Premium: $87 Million

Market Share 14%

WHY HAVE PREMIUMS DOUBLED SINCE 1999?

$7.2 BILLION

$3.8 BILLION

OUR

SOLUTION: 

INDEPENDENT PHYSICIAN GROUP

IMPROVED BUYING POWER

30%-50% LOWER PREMIUMS

INDUSTRY STANDARD COVERAGE

INDIVIDUAL POLICIES & SEPARATE LIMTS

 

STOP RATING SLOP:

  1. 'Conservative Rates"
  2. Malpractice Crisis mentality
  3. Loyalty programs
  4. Reserve Redundancy
  5. Burdensome & time consuming administration
  6. Leftover 1980s infrastructure

1) Estimated $50,000 - $100,000 to your practice every five years

2) Equal protection and administration for lower cost

3) AVOID excessive Base Rates

 

 

 

STOP OVERPAYING...!

EXAMPLE - 40% SAVINGS

EXCEPTIONAL RISK PARTNERS

SUPERIOR DESIGN

 

ELITE RISK POOL

  1. California specialists
  2. Above average claims experience
  3. Board Certified or Eligible
  4. Approved by hospital medical staff

 

INDUSTRY

 

STANDARD COVERAGE

  1. Individual policies; non assessable 
  2. Claims Made; retroactive & tail coverage
  3. Separate limits of liability
  4. Defense costs in addition to limits
  5. NO deductible or self insurance  
  6. Physician written consent required to settle claims
  7. Tail coverage retirement vesting match

 

 

 

 

 

 

 

 

SUPERIOR DESIGN

 

RISK PURCHASING GROUP (RPG)

 

  1. A platform for lower rates, program underwriting and faster return of profits that does not take or bear any risk.
  2. A group formed in compliance with the Risk Retention Act of 1986 authorizing a group of insureds engaged in similar businesses or activities to purchase insurance coverage from a commercial insurer.
  3. This is in contrast to a risk retention group (RRG), which actually bears the group's risks rather than obtaining coverage on behalf of group members.
  4. Platform for lower rates, program underwriting and faster return of profits
  5. Ownership is only $5000

 

 

 

 

 

 

 

 

 

 

IMPROVED TERMS

Multi Year Guarantee

Fast approval and automatic renewal

Broad coverage for your staff & locum tenens

  •  Hospital Medical Staff approval
  • Credentialing application
  • Insurer "no claims" report
  • Insurer Declarations Page
  • ACOG guidelines for OBGYN
  • Short Form Program Application

 PROGRAM UNDERWRITING

= PRE APPROVED

Principals experienced in physician malpractice insurance

PATRICK STOCKALPER

Attorney

 

 

BOB WHITE

Claims Manager

Los Angeles, CA

MIKE SUTER, CPCU

IndependentBroker

Palm Desert, CA

CA License #0604460

 

 

KATHY LEAF KANTER, RN, JD

Independent Risk Manager

Dana Point, CA

RICHARD LORD

Actuary

Pasadena, CA

INDEPENDENT ADMINISTRATION 

INDUSTRY STANDARD FOR LOWER COST

 

IMPROVED ADMINISTRATIVE DESIGN:

  1. Optima Insurance Services:  Industry Standard Underwriting; Risk Management; Claims; Operations
  2. Automatic renewal unless cancelled
  3. Fewer policies required to achieve financial goals
  4. Delphi TECH, industry leader, in policy and claims administration
  5. Projected low claims administration = 14 claims per 100 specialists can be obsorbed by existing Optima staff
  6. RPG caps and controls expenses 
  7. Less infrastructure:  home offices, Optima, hospitals, California Hospital Association and virtual services 

 

 

 

 

 

 

 

 

 

 

 

PHYSICIAN GROUP SERVICES 

 

Mike Suter with defense attorneys Chick Law and Dave Pruitt at risk management seminar produced by Mike & Kathy in 2000s.

BETTER SERVICE LOWER COST

  1. Senior Account Executive & Risk Manager
  2. Custom Rating Plan
  3. Niche risk management driven by local data
  4. Defense Attorney Risk Management
  5. Stewardship Reports
  6. Save time more information about your policy with virtual status & risk management meetings
  7. New Practice Management Services

BEST SPONSOR

CALIFORNIA HOSPITAL ASSOCIATION

Duane Dauner, President/CEO

Jim Barber, HASC

Strategic marketing partnership

CHA & hospitals recommend CHI/RPG to specialists

Promote program benefits and helping healthcare

 

 

 

MIKE SUTER, CPCU 

A track record of helping physicians with their malpractice insurance

MORE VALUE

  1. Rating plan based on above average claims experience
  2. Improved terms with lower cost
  3. Physician Group Services
  4. Strategic alliances with CHI/Optima and Delphi Tech
  5. Improved buying structure: Risk Purchasing Group
  6. Free risk management by your defense attorneys includes deposition training
  7. Optima Risk Management Initiatives
  8. Rate making coordination with reserve redundancy
  9. Automatic coverage for P.A., NP and locum tenens
  10. Hospital risk management colaboration on shared risks
  11. Best practices driven by specialists & local data
  12. Claims Studies from above average claims experience
  13. Independent administration for strategic partnerships
  14. Structure to reduce costs of other expensive insurance
  15. How to identify and prevent practice embezzlement
  16. Same flexibility to cancel and move policy with retroactive coverage

Includes insurer declarations page, loss report and invoice

Activities

  1. CHA marketing plan 
  2. HASC corporate sponsorship
  3. Premium & claim studies
  4. Medical Staff presentations
  5. Hospital partner risk management
  6. Individual meetings with specialists
  7. Website

 

PROSPECTS 

INDEPENDENT PHYSICIAN GROUPS

Richard Allen Williams, M.D.

President Elect

NATIONAL MEDICAL ASSOCIATION

END