Coverages for For Uninsured Periods
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The PAJUA offers coverage to those health care providers who were previously uninsured or insured by licensed or approved carriers, currently in liquidation. We require both a standard application and a supplemental application. Complete the standard application as if you were completing it at the time you (or your organization) were covered by the liquidated carrier. It is critical that you answer all the questions on the application completely. If you do not have loss runs from your insurance carriers, attach a list of the claims that have been made against you (or your organization) to the best of your knowledge. Include the date of the alleged incident and the current status as well as any information you have about amounts paid on the claim. In the space where the effective date of coverage is noted, write in See Supplemental Application. Determine which supplemental application you need and click on the title to download the application. |
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If you (or your organization) previously had occurrence coverage and the carrier was a licensed carrier, complete the Excess Supplemental Application.
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If you (or your organization) previously had occurrence coverage and the carrier was a non-licensed, approved carrier (such as a reciprocal or other approved non-admitted carrier), complete the Prior Acts Supplemental Application.
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If you (or your organization) previously had claims-made coverage and purchased a tail policy, complete the Excess Supplemental Application.
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If you (or your organization) previously had claims-made coverage that was in force within 60 days prior to the order and did not purchase a tail policy, complete the Extended Reporting Period (Tail) Application. You do not need this coverage if you were able to purchase claims-made coverage with prior acts coverage.
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If you (or your organization) previously had both occurrence and claims-made coverage for different periods, complete both of the applicable supplemental applications.
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On the supplemental application, it is mandatory that the last question be answered yes or no with any yes response explained.
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Be sure to sign both the standard application and the supplemental application.
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Coverage will be effective the date we receive a payment from you (or your organization). This means that if you (or your organization) have a claim made against you (or your organization) before we receive payment, the claim will not be covered.
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If you wish to secure coverage as quickly as possible, you may submit a check with your application for $8,000 for hospitals; $3,000 for nursing homes or primary health centers; or $1,000 for individuals, professional corporations, associations or partnerships or birth centers made payable to PAJUA. This is the nonrefundable minimum premium and will be applied to the premium for these coverages. We will then work up the premium for the coverage and you (or your organization) will have 2 weeks to pay the balance due to keep the coverage in force.
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Otherwise, you may submit your application and we will give you a quotation. You (or your organization) can then submit the full premium to bind coverage on the date we receive the check.
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