Medical Malpractice Insurance

Q: Does BIA’s Medical Malpractice policy cover Employed Medical Practitioners?

Our policy is not designed to cover doctors (employed or contracted) and only covers the vicarious liability of the insured arising from its engagement of a a contracted doctor.

Q: Does BIA’s Medical Malpractice policy cover NDIS participants who make fraudulent claims or submit fake invoices?

This would not be covered under our policy due to the Fraud, Dishonest, Criminal or Intentional Loss, Damage or Injury Exclusion.

Q: Can BIA offer higher limits for Inquiry Costs and Medical Fund Fraud?

$250,000 is the maximum limit we can offer for Inquiry Costs and Medical Fund Fraud.

Q: What is BIA’s appetite towards clinical trial practices?

Unfortunately, clinical trial practices are an automatic decline occupation.

Medical Malpractice insurance is a professional indemnity insurance policy specifically designed for healthcare professionals. It protects an Insured against claims for compensation arising from the provision of healthcare services.

Capacity

$20m

Coverage

Errors or omissions in the provision of your Professional Services

Loss of or damage to documents

Dishonesty of Insured Persons

Defamation*

Fines & penalties

Breaches of intellectual property rights*

Breaches of contract

Fraudulent & dishonest acts

Emergency First Aid

Medicare and Medical Fund Fraud by employees

*We only provide coverage for breaches of intellectual property rights and defamation.

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Appetite

Decline List

Documents

Appetite

Alternative and Natural Medicine practitioners
Private hospitals
Day Surgeries and Medical Centres
Diagnostic screening including Pathology and Radiology Clinics
Aged Care Facilities
Registered health practitioners
NDIS Service Providers

Decline List

Public/Government Hospitals
Private Hospitals providing Accident & Emergency or Intensive Care Unit Services
Independent blood banks
Clinical Trials
Abortion Clinics
Registered Medical Practitioners
Euthanasia Clinics
Chiropractors
Maternity/Obstetric procedures/Midwives
Any risk where the Proposer’s headquarters are domiciled in the USA

Documents

Medical Malpractice Liability Insurance Fact Sheet

Medical Malpractice Insurance - Policy Wording

Medical Malpractice Insurance - Proposal Form

Medical Malpractice Insurance - Claims Examples

GET A QUOTE

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Claims Examples

Important Notice
These are examples only. You should read them only as a guide. They do not form part of any policy. Every claim is different. We always determine indemnity decisions and claim payments on an individual basis, after we have assessed the claim. Information provided is general only and has been prepared without taking into account any person’s particular objectives, financial situation or needs. Insurance cover and whether a policy responds to a claim is subject to the terms, conditions, limits and exclusions of the policy. When making a decision to buy or continue to hold a financial product, you should review the relevant policy wording and any applicable endorsements.

Social Worker

The insured is a Social Worker and a complaint was made by a client to Health Care Complaints Commission (HCCC) alleging that the insured mislead clients and lacked the necessary qualifications/experience to provide the treatments that they offer and provide. The HCCC issued an investigation report detailing its findings in respect of the investigation. In summary, the HCCC made a number of findings against and recommendations in relation to the insured including failing to maintain accurate, legible and up-to-date clinical records for each client, and the insured must inform HCCC of the steps taken to implement a suitable system for recording and maintaining client records. Total expenses paid were approx. $24,000.

Pre-Employment/Periodic Medical Assessments

The insured provides clients with pre-placement health/medical screening of workers. The insured contracts Doctors who carry out the physical assessments. The insured received a complaint from one of its clients, regarding a pre-placement medical assessment for a worker. It is alleged that the worker stated that at no time during the medical did the worker (claimant) see a doctor. Despite this, the medical assessment was signed by a Doctor. The insured confirmed that it appeared the particular worker had not been personally examined by the Doctor named in the report. Over $20,000 spent on inquiry costs.

Private Hospital

The insured operates a private hospital. The claimant was admitted to the hospital for the purpose of rehabilitation and treatment following a knee replacement operation. The claimant had been undertaking hydrotherapy when they exited the pool and attempted to put on a gown, the claimant lost balance and fell, sustaining an injury and required surgery to the arm. Matter settled for over $200,000 including expenses.

Radiographer

Claimant attended the insured for an x-ray of their elbow (which was in a sling). The insured (Radiographer) in the course of trying to remove the sling with a pair of scissors accidentally pierced the Claimant in the neck. First aid was provided and an ambulance took the Claimant to hospital where surgery was undertaken to treat the puncture wound. The matter was settled for approx. $60,000 including expenses.

Management Liability Insurance

Management Liability Insurance will protect Directors and Officers as well as the Company against a Wrongful Act committed in the management of the Company.

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Professional Indemnity Insurance

Professional Indemnity Insurance provides protection for your business against a claim made by a client alleging they have suffered a financial loss as a result of your negligence or a breach of professional duty from services provided by your business.

Public & Products Liability Insurance

Public and product liability insurance protects businesses from paying compensation to a third party in the event of personal accidents, injury or property damage resulting from any business activity and manufactured or supplied product.

Frequently Asked Questions about Medical Malpractice Insurance

Does BIA cover NDIS service providers?

Yes, we can offer a Medical Malpractice policy to NDIS services providers.

What medical service occupations does BIA exclude?

Standard exclusions within our Medical Malpractice policy wording exclude midwifery and obstetric services. We also exclude activities where we are not comfortable with the exposure presented.

The following occupations/professions are an automatic declinature for us:

Public/government hospitals;
Private Hospitals providing Accident & Emergency or Intensive Care Unit Services;
Independent blood banks, not operating as part of a hospital/clinical organisation;
Midwives and maternity/obstetrics;
Abortion clinics;
Medical Practitioners involved in gender reassignment, organ transplant, spinal surgeons, neuro surgeons;
Euthanasia clinics;
Radiologists;
Anaesthetists;
Any risk where the Proposer’s business is domiciled in USA;
Chiropractors;
Child Care;
Podiatrists involved in surgery where any anaesthetics other than a local anaesthetic used; and
Any business directly involved in testing or research on coronavirus or similar communicable diseases.

Does BIA’s Medical Malpractice policy cover Employed Medical Practitioners?

Does BIA’s Medical Malpractice policy cover NDIS participants who make fraudulent claims or submit fake invoices?

Can BIA offer higher limits for Inquiry Costs and Medical Fund Fraud?

What is BIA’s appetite towards clinical trial practices?

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