Should I Carry Nursing Malpractice (Liability) Insurance?

Malpractice (liability) insurance provides essential legal and financial security. Many Nurses go "bare" and never really consider Liability insurance as important. Be sure you are well informed before you make any final decisions about your future. Nurses Career Support Video Knowledge

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This question comes up frequently and is asked of me quite often, "should I carry malpractice protection?"

What is Malpractice?

Simply put, it is a failure to adhere to a standard of care or conduct by a professional such as a Physician, Nurse, Attorney, etc. Malpractice occurs when it can be proven that the professional had a duty to provide a standard of care/conduct, breached that duty, an injury or damage resulted, and the injury/damage was caused by the breach.

No matter how educated, confident, and careful the Nurse is, unintentional mistakes can and will happen. Accidents will occur. And, unfortunately, willful neglect can be an issue. Injury and death very often are the results of mistakes, accidents, and neglect. Families want to know what happened. Even in the best scenario, the Nurse feels embarrassed and ultimately fears what the damage could do to a perfect professional reputation. Nurses must have the option of protecting their professional reputations and personal assets. Having individual is a smart solution.

Nurses will often make the following statement

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My employer covers me so I don't need my own malpractice/liability policy.

Yes, your employer's policy may cover you, but only up to a point. Remember: Your employer's policy is created to fit their specific needs and protects them first. You may even be told (by your employer HR) that you do not need your own policy. What they do not tell you is that they want you to be represented by their attorneys. They do not want "outside" representation for they know that their best interests will not be first and foremost.

All malpractice liability insurance policies have limits of liability. If you are only covered by your employer's insurance, other defendants employed at your entity may and probably do share your liability limits under the same policy. If you, as well as others, are named in a suit, your legal costs, including any settlement, could exceed your employer's shared liability limits. This would mean out-of-pocket expenses for you.

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What type of policy and how much coverage do I need as a Nurse?

These are questions that are very important when considering a policy.

Two Popular Policies

  • Occurrence-based - any covered incident occurring while the policy is in effect even if the policy is now canceled and/or you have retired
  • Claims-made - any covered incident only while the policy is in effect

The cost of a policy is economical and reasonable. For example, the annual premium could cover the first hour billed by Attorney. $1,000,000/$6,000,000 coverage premiums are approximate $100/year in most states for the Registered Nurse (RN) as well as for the Licensed Practical/Vocational Nurse (LPN/LVN).

Links of Interest

One major benefit of an individual policy that is often overlooked or taken for granted when considering coverage is license protection. Nurses need to be aware that this will extend beyond their employer's coverage and includes discipline issues that can be brought up by the individual Nurse's Board of Nursing (BON). Many Nurses do not have the financial ability to go against the BON, therefore, license protection is a must.

Another all-important beneficial consideration is that policies normally will include coverage regarding libel, slander and patient confidentiality, including HIPAA issues. These issues can be troublesome and include a great cost for the Nurse.

Finally, a common statement that is incorrect and based on myth ...

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Malpractice liability insurance will make me a target and I'll be named in a lawsuit.

When being named in a lawsuit, no one knows you have your own personal policy unless you have revealed this information. Only after a lawsuit is filed and only during the period of the discovery phase is this information available.

So, do you carry your own individual malpractice/liability insurance? In the end, the question of whether or not the Nurse should carry malpractice/liability insurance is a personal one and should be seriously considered.

The peace of mind knowing that you are covered is overwhelming.

The peace of overwhelming reassurance.

Specializes in Nursing homes, dermatology.

So then what would be good companies to look into for this? I live in WI...doest that make a difference???

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Specializes in Education, FP, LNC, Forensics, ED, OB.
serenityk579 said:
So then what would be good companies to look into for this? I live in WI...doest that make a difference???

Look on the first page and find some companies.

Many, many nurses use NSO. For an LPN in WI, employed full-time and not a newly licensed nurse, premiums are around $107.00/year for 1/6 coverage.

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Specializes in Medical.

To summarise: whatever state you live in, whatever kind of work you do, all nurses should have indemnity insurance. Pick a company from the list sirI provided on the first page, in the first post, or call around and compare. For me it's like travel insurance - if I can't afford to buy it, I can't afford to travel. Or, in this case, work.

Well, in Australia I can't work - indemnity insurance is a condition of registration for all health professioanls here.

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Yes you should carry . There has been a 21% increase in nursing disciplinary action over the past 5 years and in the event that you face the state board of nursing you will need legal representation. I recommend at least starting with a prepaid legal plan (about $17.000 per month) You will need a lawyer who specializes in license law.

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Specializes in Education, FP, LNC, Forensics, ED, OB.

As with any plan, the consumer must check out any plan including all fine print.

PPL Plans are utilized by many entities where high-risk legal issues are the norm. Some of the areas that are included would be speeding tickets, real estate issues, contract issues, IRS issues.

Malpractice issues tend to be very time and resource consuming and require special experience and skill. So, the consumer must ensure this is definitely in the pre-paid plan.

Also, these plans usually cost much more than "regular" .

One caveat I always embrace is "buyer beware". Not saying these plans are wrong, just be careful with any product you purchase.

(i've never met anyone who utilized a PPL Plan)

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Specializes in All Icus x Nicu/ Shock Trauma/flight nur.

Yes by all means carry mal-reactice insurance. There are a number of reasons to have it. Did you know that if a complaint is lodged gainst your license you MP insurance will cover the cost of and attorney. It's well worth the expense.

FLGNRSE2

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Yes, it seems that having is a good idea. What if I just purchased the insurance, but wasn't covered last year. Would it be possible to get coverage for the previous year as well? Is this possible to purchase a "back dated" policy?

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Specializes in Medical.

I don't know of any insurance, in any field (eg travel, home and contents, car) that provides backdated coverage.

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Well, I was looking online and noticed some indemnity insurances for engineers and accountants will backdate coverage if the individual has not been covered and there is not a current claim against them.

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Specializes in All Icus x Nicu/ Shock Trauma/flight nur.

I don't think your going to find any company to insure you for the previous year. It's my opinion that I wouldn't give any attorney a chunk of cash up front, I would keep it sat aside in a personal account and let it earn interest, then if you need it you have it. I was a little confused in regards to an indemnity policy, I thought indemity policies pay a portion of Hospital/Medical expenses, then your major medical kicks in to pay, some but not all unless you have an arm and a leg to donate! FLTNRSE2

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I would like to know:

If I didn't have active insurance now as I had stopped working as a nurse for couple of months/years. What if now someone sued me for when I was working and was covered under insurance? Do I still get assistance form insurance company now?

Its a hypothetical situation.

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Specializes in Pediatric, LTC , Alzheimers, Behavioral.

Yes Caffein...if you were covered at the time stated in the lawsuit, then you are certainly covered. It doesn't matter that you aren't covered now.

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