claims-made policy

claims-made policy

Etymology: L, clamere, to cry out; ME, maken + L, politicus, the state
a professional liability insurance policy that covers the holder for the period in which a claim of malpractice is made. The alleged act of malpractice may have occurred at some previous time, but the policy insures the holder when the claim is made. Compare occurrence policy.
A type of medical malpractice or professional liability insurance policy for a physician or other health care professional in which coverage is provided for any claim that occurs only while the policy is in force, regardless of when the alleged malpractice, negligence, or injury occurred

claims-made policy

Malpractice A type of medical malpractice or professional liability insurance policy for a physician or other health care professional in which coverage is provided for any claim that occurs only while the policy is in force, regardless of when the alleged malpractice, negligence, or injury occurred. Cf Nose coverage, Occurrence policy, Tail coverage.
References in periodicals archive ?
When the standard claims-made policy is issued, the trigger is when notice of the claim for damages because of bodily injury or property damage is received and recorded by the insured or insurer, whichever is first.
That said, if there exists one or more completely dispositive bases to deny coverage, such as the claim against the insured having been first made before the policy period of a claims-made policy, the investigation need not widen to determine facts that will not be covered regardless of their importance to the insured's case.
If the coverage is canceled or non-renewed, and not replaced with another claims-made policy, Contractor must purchase extended reporting coverage for minimum of five (5) years after the termination of this agreement.
In effect, with a claims-made policy, the insured must have the policy in effect when the alleged incidence of malpractice occurs and also have the policy in effect when the claim is filed.
The claims-made policy generally requires the insured to report any claims to the insurer during the policy period or a time period specifically prescribed in the policy.
Physicians renewing a claims-made policy are covered from the first year that they owned the policy.
With a claims-made policy, it doesn't matter when the occurrence took place and it is clear which policy should respond to the claim.
If a claims-made policy is discontinued, the doctor must obtain "tail" coverage to cover past actions.
Coverage for prior actions can become challenging in the event that a physician has a claims-made policy, which offers protection only while the policy is in effect.
In fact, a key to distinguishing a claims-made policy from an occurrence policy is the very absence from an occurrence policy of a discovery or manifestation requirement.
Tail insurance, formally known as extended reporting period, continues your ability to defend claims after the claims-made policy is out of force.