Get Adobe Flash player
You are here >  Excess & Surplus Sunday, December 17, 2017


Excess and Surplus

The oldest and largest professional liability and practice protection program, designed specifically for dentists.

 

 

Contact Information

Dental Risk Management Services

Phone: + 1 405-527-3966
Fax: + 1 405-527-4326         
E-mail: randy@dental-risk.com

Highlights

Available Limits
  • Limits vary from $100,000 per claim $300,000 aggregate to $1 Million per claim $3 Million aggregate
  • Minimum per claim deductible not required
Coverage Offered
  • No cap on number of dentists within a group
  • World-wide coverage
  • Claims-made coverage
  • No consent to settle
  • Expense within the limits of liability
  • Corporate/entity coverage only to the extent of named insured's liability and on a shared limit basis
  • Twelve-month extended reporting period (ERP) option
  • No flat cancellation and 25% minimum earned premium
Submission Requirements
  • Fully complete, signed and dated application.
  • Other carrier's applications acceptable for premium indication. CNA application is required if indication is accepted. The application must be received prior to binding.
  • A copy of applicant's current business letterhead: If not available, a letter of explanation is required. A copy of a billing statement or voided prescription sheet is acceptable.
  • Complete claim data (past 10 years), including those claims that are closed without payment, pending or paid.
  • The Supplemental Claim Information Form must be completed for each claim or incident which has occurred.
  • Copy of applicant's current declaration page.
  • Board transcripts must accompany any submission where the dentist has been the subject of a board inquiry. Compliance with any board stipulations must also be submitted. Indications will not be provided without this information.
  • Applicants with any impairments must submit a treating physician statement. Premium indication will not be provided without a statement. This statement must be updated each year at renewal.
  • License Verification - All applicants must have their license checked annually for board actions and active status. License action can be obtained via Internet or telephone call to the board.
  • Evidence of Insurance for all dentists who the applicant shares space with, all non-CNA insured independent contractors and/or employee dentists. Certificates showing policies, which have expired, are not acceptable.
  • Oral Surgeons Questionnaire (must be completed by all oral surgeon applicants).
  • Insurance History - Any applicant who indicates he has practiced without insurance, had professional liability insurance refused, cancelled or non-renewed, must provide details including the dates and reason.
Register  |  Login