Provider Excess Loss
Health care providers accepting risk, whether through capitation by an HMO, or otherwise, reduce their financial exposure by purchasing Provider Excess Loss insurance. IndependenceCare Underwriting Services offers this product to risk-taking providers, understanding that such coverage may be mandated either by contract or regulation. IndependenceCare Underwriting Services develops a thorough appreciation of each provider's unique risk exposure by asking questions -- lots of questions -- and analyzing information supplied by the client. This client-specific knowledge, combined with our extensive knowledge of the provider excess market, allows us to structure superior contracts and develop competitive pricing. Our primary goal is to provide financial protection to the client's bottom line with year-to-year predictable coverage and pricing, allowing providers to forecast and properly budget for insurance and medical loss expenses.
Information that allows us to develop a competitive proposal:
- Completed provider excess loss insurance questionnaire
- Hospital and provider contracted rates
- Copy of any expiring provider excess insurance contracts
- Copies of the provider service agreements, including risk matrices
- Three years of claim experience based on the requested contract terms (current plus two prior years)
- Three years of membership reports, on a month by month basis, broken down by HMO and line of business
- Most recent annual audited financial statement
- Our standard provider excess loss Insurance contract includes the following terms and limits.
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