LOOKING TO ADD NEW INSURDES AND RETAIN LARGE ACCOUNTS? THE CLAIMS-PAID POLICY FORM MIGHT BE FOR YOU
By collecting additional reserve money, a Claims-Made carrier will charge an annual premium for all claims anticipated to be reported. When a Member reports a claim, the carrier may now use previously collected funds to resolve it. When the carrier assumes liability for a claim, the Member can then depart to secure retroactive coverage from a different carrier.
The Claims-Paid alternative differs considerably. The Continuing Care Risk Retention Group, Inc. (CCRRG) does not collect reserves, so Members pay less annually than they would with a Claims-Made carrier. In exchange for lower premiums, Members must agree to one of three options. They must purchase coverage for an extended reporting period (ERP), remain with CCRRG until their pending claims are resolved, or assume responsibility for the outstanding balance of their claims at the time they choose to terminate their membership.
CCRRG agrees to "Pay" amounts within policy limits for "Damages" related to "Property Damage" or "Bodily Injury" where this insurance is applicable. This is done on behalf of a "Member" who takes on a legally binding obligation to "Pay" the amount determined by an arbitrator, court, or any other administrative tribunal while they were a CCRRG "Member."
The company will "Pay" for a "Claim" that is reported for and "Occurs" during the "Policy Period":
- when it is a legally binding obligation for the "Member" while the "Claim" is declared during the "Policy Period; and
- while the "Member" continues to be a "Member" when legally obligated to "Pay" the "Claim."
The patent-pending Claims-Paid PL/GL form has been granted to Magnolia LTC Management Services and CCRRG for exclusive use. This was granted by the Cooperative of American Physicians (CAP) for institutional long-term care facilities anywhere in the U.S.
Don’t Pay for Claims That May Never Be Reported
CCRRG's Claims-Paid policy is a unique alternative to CCRRG's Claims-Made policy form.
Under the Claims-Paid policy, Members will enjoy premium savings without giving up the competitive, reliable, and stable coverage they receive under the Claims-Made policy.
How CCRRG Does It
- Traditional insurance companies typically offer pricing formulas that add estimates of possible future losses, increasing company expenses. CCRRG Members/Insureds who opt for the Claims-Paid policy never have to pay for reserves for incidents that might not result in a claim.
- The CCRRG Claims-Paid premium is determined by the costs of running CCRRG, along with projected costs of present and anticipated claims per program year.
- If a Member/Insured opts to leave the Claims-Paid program with one or multiple open claims, they can either take their claim(s) with them or purchase an ERP endorsement.
- If a Member/Insured chooses not to purchase extra coverage for an ERP upon leaving the program, CCRRG will support defense costs on open Claims-Paid claim(s) after the final day of coverage for 30 days. This provides the former Member/Insured an adequate amount of time to acquire their own defense counsel.
