Academic Health Professionals Med Mal PS 2019 2020 Rates rate 8 19 ADIC-132023920

Disposition Date: 08/20/2019 Effective Date New: Effective Date Renewal: Status: Acknowledged Comment: This refers to your letter of July 25, 2019, submitting the captioned filing for re

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Filing at a Glance

Co Tr Num:

Effective Date

Requested (New):

07/01/2019

Effective Date

Requested (Renewal):

07/01/2019

Effective Date (New):

Effective Date (Renewal):

Association

TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons

Product Name: 2019/2020 Rates

Project Name/Number: /

PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM

This filing was provided as part of The New York Insurance ADVISOR

Subscribe @ www.martincompanyus.com

or call 800-896-8000

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General Information

Company and Contact

Filing Fees

State Specific

Filing Status Changed: 08/20/2019

Corresponding Filing Tracking Number:

Filing Description:

2019/2020 Rtaes

Filing Contact Information

Steven Capone, Vice President, Senior

Underwriter

steve@academicins.com

1250 Broadway

Suite 3401

New York, NY 10001

646-808-0591 [Phone]

646-808-0601 [FAX]

Filing Company Information

Academic Health Professionals

Insurance Association

1250 Broadway

Suite 3401

New York, NY 10001

(646) 808-0608 ext [Phone]

CoCode: 42544 Group Code:

Group Name:

FEIN Number: 06-1313252

State of Domicile: New York Company Type: Property &

Casualty State ID Number:

Fee Explanation:

Speed-To-Market Field: enter code "98" for Speed-To-Market filings Enter "0" for N/A.: 0

Terrorism Exclusion Field: enter code "46-01" for filings which includes forms, rates or rules for the Terrorism Exclusion Enter

"0" for N/A.: 0

Mold (Fungi, Bacteria, Virus) Exclusion Field: enter code "46-02" for filings which includes forms, rates or rules for the Mold Exclusion Enter "0" for N/A.: 0

On the Rate/Rule Schedule Tab, the "Add Rate Data" button must be changed to "yes" for all rating rules and rate filings in order for the appropriate fields to be completed Please enter "Yes" for filings with the rate data fields completed and "No" for all other filings.: yes

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Correspondence Summary

Dispositions

Objection Letters and Response Letters

Status Created By Created On Date Submitted Responded By Created On Date Submitted

Project Name/Number: /

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Disposition Date: 08/20/2019

Effective Date (New):

Effective Date (Renewal):

Status: Acknowledged

Comment: This refers to your letter of July 25, 2019, submitting the captioned filing for review

The Physicians and Surgeons Professional Liability rates, as established by the Superintendent are hereby acknowledged and placed on file, effective July 1, 2019 to June 30, 2020

Company

Name:

Overall % Indicated Change:

Overall % Rate Impact:

Written Premium Change for this Program:

Number of Policy Holders Affected for this Program:

Written Premium for this Program:

Maximum % Change (where req'd):

Minimum % Change (where req'd):

Academic Health

Professionals Insurance

Association

Supporting Document Medical Malpractice Review Standards Checklist Yes

Supporting Document Minimum Premium/Return Premium and Minimum Earned

Premium Rules

Yes

Supporting Document Physician and Surgeon Risk Management Credits Yes

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Objection Letter

Dear Steven Capone,

Introduction:

This refers to the captioned filing submitted on July 25, 2019.

Kindly advise if the company expects to see a significant change in the distribution of premium by territory in Policy Year 2019 from Policy Year 2018 If so, please explain.

We await your prompt reply In the meantime, the captioned filing is not approved for use in New York State A substantive reply must be submitted within 15 days If such response is not received, this file will be considered withdrawn and closed accordingly Should the company wish this Department to again review the subject matter of this filing, a new submission, that references the above State Tracking Number and at a minimum includes a memorandum which addresses the outstanding issues included in this correspondence, must be made in accordance the provisions of Department Circular Letter No 5 (2009) and SERFF filing

submission guidelines.

Conclusion:

Sincerely,

Siu Ping Wong

Association

Project Name/Number: /

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Response Letter

Dear June Nguyen,

Introduction:

Below is the Academic Health Professionals Insurance Association’s “Academic” response to the question you raised in your August 1, 2019 Objection Letter

Question: Kindly advise if the company expects to see a significant change in the distribution of premium by territory in Policy Year 2019 from Policy Year 2018 If so, please explain.

If you have any additional questions please do not hesitate to contact me.

Sincerely,

Steven Capone

Response 1

Comments:

Response: There have been changes to the premium distribution in our policy year 2019 premium writings compared to policy year 2018 due to the following: currently Academic no longer insurers the faculty at SUNY Upstate Medical University -except for a few physicians who remained- (territory 00), we experienced reductions at New York Medical College (territory 01) and SUNY Downstate (territory 02) Attached is the comparison for policy years 2018 and 2019.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

Rate Schedule Item Changes

Item

Previous State Filing Number Date Submitted

By: Beata Biernacka

Conclusion:

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Sincerely,

Beata Biernacka

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Rate Information

Rate data applies to filing.

Filing Method:

Overall Percentage of Last Rate Revision: %

Effective Date of Last Rate Revision:

Filing Method of Last Filing:

SERFF Tracking Number of Last Filing:

Company Rate Information

Company

Name:

Overall % Indicated Change:

Overall % Rate Impact:

Written Premium Change for this Program:

Number of Policy Holders Affected for this Program:

Written Premium for this Program:

Maximum % Change (where req'd):

Minimum % Change (where req'd):

Academic Health

Professionals Insurance

Association

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Rate/Rule Schedule

Item

No.

Schedule Item

Status Exhibit Name Rule # or Page # Rate Action

Previous State Filing Number Attachments

calculations.xls AHPIA Rates 2019-2020.xlsx AHPIA 2019-2020 class listing.pdf

territory definitions 2019-2020.pdf

Comparison 2018 v 2019.xlsx

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CLASS CLASS DESCRIPTION

1  Neurosurgery

2  General Surgery including Bariatric Surgery

3  Obstetrics & Gynecology

4  General Surgery excluding Bariatric Surgery

5  Orthopedic Surgery

6  Cardiac Surgery

 Vascular Surgery

7

 Gynecology only

 Otolaryngology including otolaryngological cosmetic surgery

 Plastic & Reconstructive Surgery

8  Colon & Rectal Surgery and or Proctology

 Urology including major surgery

9  Emergency Medicine

10

 Computerized Tomography

 Diagnostic Radiology only

 Diagnostic Radiology and Radiation Oncology

11

 Family/General Practice with Limited Major Surgery and/or Anesthesiology

 Neurology and/or Psychiatry, including the supervision, direction or performance of

myelography and/or angiography

 Obstetrics and Gynecology - Uncomplicated Obstetrics and Limited Surgery

 Otolaryngology excluding cosmetic surgery

12  Obstetrics and Gynecology - Uncomplicated Obstetrics and Minor Surgery

13  Internal Medicine with cardiac catheterization

14

 Family/General practice with Minor Surgery

 Gynecology only including Minor Surgery

 Otolaryngology with limited minor surgery (does not include tonsillectomy and

adenoidectomy)

 Occupational medicine with Minor Surgery

15  Neurology excluding the supervision, direction or performance of myelography

and/or angiography

16

 Internal Medicine including cardiology, gastroenterology, rheumatology, tb/lung diseases, endocrinology and medical oncology excluding cardiac catheterization

 Dermatology including dermabrasion, hair transplants, micro/lipo injections,

liposuction, face peels using Phenol, Mohs microsurgery and other procedures listed

in class 22, Dermatology

 Urology including minor surgery

 Radiation Oncology only

17  Ophthalmology including major surgery

18  Anesthesiology

19  Family/General Practice with no surgery

 Occupational Medicine excluding surgery

20  Pathology and/or Hematology

21

 Ophthalmology with minor surgery

 Pediatrics excluding tonsillectomy and adenoidectomy, other major surgery or

general/spinal anesthesia

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22 collagen injections or sclerotherapy but excluding any other procedures listed in

class 16, Dermatology

 Physical Medicine & Rehabilitation, including pain medicine

23

 Allergy including pediatric allergy

 Dermatology excluding all procedures listed in class16, Dermatology and class 22,

Dermatology

 Ophthalmology excluding surgery

 Physical Medicine & Rehabilitation, excluding pain medicine

 Preventive Medicine

 Public Health Medicine

 Psychiatry excluding the supervision, direction or performance of myelography

and/or angiography

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TERRITORY 02: KINGS & QUEEN COUNTIES

TERRITORY 03: NASSAU & SUFFOLK COUNTIES

TERRITORY 04: PUTNAM, DUTCHESS, COLUMBIA, GREENE & ULSTER

COUNTIES

TERRITORY 06: LIVINGSTONE, MONROE, ONTARIO, SENECA, WAYNE &

YATES COUNTIES TERRITORY 07: BRONX & RICHMOND COUNTIES

TERRITORY 00: REMAINDER OF STATE (ERIE & NIAGARA COUNTIES

MERGED INTO 00 EFFECTIVE 7/1/2010)

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Supporting Document Schedules

Bypassed - Item: Medical Malpractice Review Standards Checklist

Bypass Reason: not applicable

Attachment(s):

Item Status:

Status Date:

Bypassed - Item: Explanatory Memorandum

Attachment(s):

Item Status:

Status Date:

Bypassed - Item: Rates and/or Rating Plans

Attachment(s):

Item Status:

Status Date:

Bypassed - Item: Minimum Premium/Return Premium and Minimum Earned Premium Rules

Attachment(s):

Item Status:

Status Date:

Bypassed - Item: Physician and Surgeon Merit Rating Plans

Attachment(s):

Item Status:

Status Date:

Bypassed - Item: Physician and Surgeon Risk Management Credits

Attachment(s):

Item Status:

Status Date:

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Bypassed - Item: Consent-to-rate requirements

Attachment(s):

Item Status:

Status Date:

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