Resources
for this Product
FormsApplication (h1010)
Renewal Application (h1010 REN)
Duty to Defend Policy Specimen (H2000)
Indemnity Policy Specimen (H1000)
Marketing Support
Please visit Allied World's reference library for additional information.
Underwriting Contact
Becky Cox
V 860 328 7811
Please do not send submissions to the underwriting contact. Refer to Submission Requirements for more information
Managed Care Organizations, Plans, and Service Providers
Overview
Allied World's health care team has been immersed in the health and managed care
environment since the early 1980s. It's a legacy we are proud of, but more
importantly, it serves as the foundation that supports our commitment to the
health care industry.
- We view our resources as an extension of our customers' efforts to manage risk.
- We understand and appreciate the nuances of local medical delivery systems.
- We are personally invested in the business of health care and we move with agility to respond to emerging exposures.
Before coverage is underwritten and after a claim may arise, our focus is on serving the distinct needs of each health care customer. And we do so with talented people who offer a range of capabilities. Many organizations now turn to Allied World for primary and lead excess coverage.
With a dedicated health care underwriting practice, Allied World is building an infrastructure that demonstrates commitment at every touch point - from risk assessment and coverage terms to claims administration and risk management services.
NOTE: For accounts with a retention under $100,000, Allied World typically uses its duty-to-defend form. Accounts with a retention of $100,000 or more typically are written on an indemnity form.
Errors and omissions (E&O) liability coverage for the following preferred segments is available on a primary or excess basis.
Preferred Segments
Managed Care Organizations/Plans, including:
- HMOs (Health Maintenance Organizations)
- IPAs (Independent Physician Associations)
- PBMs (Pharmacy Benefit management Organizations)
- PHOs (Physician Hospital Organizations)
- PPOs (Preferred Provider Organizations)
- Case/Disease Management Providers
- CVOs (Credentialing Verification Organizations)
- MSOs (Management Service Organizations)
- PRSOs (Peer Review Service Organizations)
- TPAs (Third Party Administrators)
- UROs (Utilization Review Organizations)
Capacity
Allied World can provide limits up to $20 million for managed care E&O risks.
- Definition of covered Managed Care Activities is broad and includes (among others) provider selection; utilization review; disease and case management; claims administration; administration, management and marketing of health and managed care plans; quality assurance and review; and establishment of provider networks
- Broad definition of insured includes past and present employees, medical directors, directors, officers, committee members, and volunteers
- Specific coverage for breach of confidentiality or improper disclosure of protected medical information under HIPAA managed care activities
- Modified 60/40 hammer clause (Allied World will pay 60% of amounts in excess of settlement rejected by Insured)
- Vicarious liability coverage
- Automatic 90-day coverage for mergers and acquisitions
- Broad provider selection coverage for claims by members alleging negligent selection and for claims related to credentialing
Submission Requirements
Allied World can quote from most competitors' applications. However, for primary
coverage a completed, signed Allied World application is required prior to issuing
a policy.
Access to this product is available only to Allied World approved producers. Approved producers may email account submissions to submissions@darwinpro.com, fax them to 860 284 1302, or mail them to the address below.
If you are not a Allied World approved producer, click here for a list of approved referral wholesalers for this line of business.