Conceptual Overview

Mike Suter, CPCU

CA License # 0604460

 

BREAKTHROUGH

PROPOSAL

NMA LIABILITY PROGRAM

 

NMA LIABILITY PROGRAM

1) 30%-50% LOWER PREMIUMS FOR MOST MEMBERS

2) SPONSOR REVENUE FOR NMA

3) PLATFORM FOR SAVINGS ON OTHER INSURANCE 

 

 

 

 

 

EVIDENCE

EXCESSIVE CAPITAL

RATES 50% HIGH

TRADITIONAL MEDICAL ASSOCIATION REVENUE VEHICLE

SOLO PRACTITIOERS TO MEDICAL GROUPS & HOSPITALS

BROKER TEAM IN PLACE

 

INSURANCE BROKER PROCESS

Private Practice; Above Average Claims History; California; Board Certified or Eligible; Community Hospitals; Specialists

VALUE

 

 

  1. Supports mission
  2. Business partnerships
  3. Legacy program
  4. Practice Management
  5. Website

 

HOW?

Marketing

Credentialing

Claims Studies

Best Practices

Risk Management

Program Design

Marketplace

Program Managers

Policyholder Service

 

 

MARKETPLACE

 

EXCESSIVE CAPITAL & PREMIUMS

10 YEARS PROFITS

TORT REFORM WORKS

MOST CLAIMS DISMISSED

CLAIMS FREQUENCY "AT BAY"

EXPENSIVE ADMINISTRATION

REDUCED INSURERS BY ACQUISITION

 

 

 

80% OF CLAIMS DISMISSED

EXCESSIVE PREMIUMS

59% LOSS RATIO

2006-2015

EXCESSIVE PREMIUMS

 

32% LOSS RATIO

 

2006 TO 2015

INDUSTRY SURPLUS

2-3X AMOUNT REQUIRED

GROWN 40% IN 5 YEARS 

OUR SOLUTION:

 

NMA

LIABILITY PROGRAM

NMA members in California

Above average claims experience

Solo Private Practice

Medical Groups

NMA LIABILITY PROGRAM

COMBINES BUYING POWER OF 30,000 AFRICAN AMERICAN PHYSICIANS

c

NMA Membership:  50,000; 33 States

BlackDoctor.org: 2255 (920 specialists; 1335 primary care)

 

 

TRADE ASSOCIATION SPONSORSHIP REVENUE

MORE VALUE:

 

Best practices

Claim studies

Risk Resources

Relationships with defense attorneys

Sponsors and exhibitors for annual meetings

Practice Management

Annual Meeting Management

Paid by broker or insurer for marketing and/or exclusivit

Does not increase price

Can be based on approved and paid member insurance policies (fee or percentage) and/or advertising, annual and regional meeting participation

Traditional in health care 

 

 

INSURER MARKETING STRATEGY

Produce Marketplace Submission

CHI/Optima

Request For Proposal (4 - 7 Insurers)

 

30%-50 LOWER PREMIUMS

INDIVIDUAL POLICIES & SEPARATE LIMITS

INDUSTRY STANDARD COVERAGE

 

 

 

  1. ABOVE AVERAGE CLAIMS EXPERIENCE
  2. CALIFORNIA (TORT REFORM)
  3. BOARD CERTIFIED OR ELIGIBLE
  4. HOSPITAL MEDICAL STAFF APPROVAL

SUPERIOR DESIGN

MIKE SUTER, CPCU

EXCEPTIONAL PHYSICIAN PROGRAM EXPERIENCE