IRDAI-licensed insurance brokerAn insurance policy, underwritten by an insurer. It covers the cost of legal defence and awarded compensation in a medical negligence claim. CoverYou arranges it for members as an IRDAI-licensed broker.
Verify & ContinueAll sources of notices received by members regarding medical negligence are covered, including lawyer notice, district court, state commission, national commission, medical council notices, police FIR, consumer forum and minority commission.
A medico-legal lawyer panel fights cases on behalf of members and the legal cost is borne by the insurance company. Members can also choose their own preferred lawyer, whose fees are paid as per the professional fee chart.
Compensation is paid by the insurance company directly if the doctor loses the case in court. Multiple claim amounts may be paid up to the sum assured within the policy period, and for a single claim the maximum compensation up to the sum assured is payable.
Provision for out of court settlement if the case becomes indefensible, up to the sum assured.
A senior doctor panel from IMA Bengal State provides a second level opinion, made available to members after the lawyer consultation.
Cases arising due to breach of confidential information of a patient are included under the policy.
Cases arising out of any loss of critical documents are covered under the policy.
Run off cover is available as an add-on to IMA Bengal State members.
The Medical Establishment policy covers all individual policy benefits along with coverage of all qualified and unqualified staff, ward boys, nurses, technicians, owners, directors and partners.
The policy covers allegations from patients for dishonesty from profession.
Coverage for legal defence and enquiry-related expenses arising from allegations of molestation in the course of professional duties.
Coverage for losses arising from dishonest, fraudulent or unethical acts committed by an employee in connection with professional duties.
Coverage for legal and professional expenses incurred in responding to enquiries or investigations arising from professional services.
Expert medico-legal advice and consultation required in connection with professional liability matters or claims.
Members can choose to port their existing Professional Indemnity policy while retaining continuity of coverage, subject to policy terms and conditions.
Source: IMA Bengal – CoverYou tie-up letter. Final terms are in the policy wording.
