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Professional Liability Insurance
MUSC provides medical professional liability insurance through
the South Carolina Insurance Reserve Fund (IRF). The policy
is an "occurrence" policy.
Who Is covered?
Any MUSC employee who is listed on the MUSC payroll. (Residents
are listed as employees of MUSC)
When does coverage start?
Coverage starts the day the individual begins working. This
is not a "claims made" policy, therefore, protection
for occurrences extends beyond the last day worked.
Coverage
The policy will pay all sums the insured is legally obligated
to pay, up to the limits stated in the policy, due to an occurrence
which results in injury arising out of rendering or failure
to render one or more of the professional services listed in
the policy.
- Not Covered
1) Any act arising out of dishonest, fraudulent, criminal,
malicious, or deliberately wrongful acts or omissions.
2) Any person whose acts or omissions are responsible for
false and fraudulent claims.
3) Disregard for Federal and State statutes and regulations.
4) "Moonlighting"
Note: The IRF has the option to refuse defense for deliberately
unreported; untimely reported; and/or misrepresentation
of occurrences when claims and suits are filed against the
Insured (individual involved).
Professional Services
"Professional Services" means: 1) medical (including
emergency medical and paramedical), surgical, psychological,
dental, radiological, or nursing service or treatment, including
the furnishing of food or beverages in connection with:
2) furnishing, fitting, or dispensing of drugs or medical,
dental, or surgical supplies or appliances
if the injury occurs after the Insured has relinquished
possession thereof; 3) handling of or performing post-mortem
examinations on human bodies; and 4) services by any person
as a member or employee of any governing or other formal
board or committee of the Named Insured" or as any
other person charged with executing directives of
any such board or committee.
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Occurrence
"Occurrence" means any accident, incident, or
other event (including non-action) which does or may reasonably
be expected or intended by the Insured.* Note: The patient
and/or family may believe an injury has occurred and bring
legal action against a care giver.
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Injury as defined by IRF "Injury"
means bodily physical injury, sickness, disease, mental
or emotional distress accompanied by physical manifestation
thereof, or death resulting from any one or more thereof.*
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Limits of Liability
1 ) For physicians and dentists, the limits are 1.2 million
dollars for a single occurrence with no annual aggregate.
2) For all other employees, the limits are $600,000 for
a single occurrence with no annual aggregate
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Your Responsibility for Your Insurance
Coverage
1 ) Report any and all occurrences with particulars, names
and circumstances thereof as soon as practical following
the occurrence.
2) Cooperate with the IRF upon any and all requests made
to you.
Note: Occurrences may be reported via telephone or written
report to the Professional Liability Division, University
Risk Management, who is your connection to your insurance
company, the Insurance Reserve Fund. Also, you are to
report occurrences according to the guidelines within
the various clinical departments, hospital, or facility
where you are providing patient care.
Questions
A representative from the Professional Liability Division,
University Risk Management, will be happy to discuss any concerns
you may have about risk issues, reporting occurrences, insurance
coverage; and your responsibility for maintaining that coverage.
* Medical Professional Liability Insurance Policy
**Named Insured means MUSC
This brochure is not an insurance contract
Medical Professional Liability Insurance Policy
Policy Number P1201200E
South Carolina Insurance Reserve Fund
P. 0. Box 11066, Columbia, SC 29201
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