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

If you are having difficulty about types of coverage that you do not see on a business website (FAQ, Coverage, etc.), send an email inquiry.

For example:

NSO has it spelled out here: What is the difference between occurrence and claims-made coverage?

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If you are not sure whether your policy through NSO is occurrence or claims-made, please email us or call us with your policy number, and we'll confirm your coverage for you.

And, allnurses Medical addresses the 2 types here: Is this Claims Made or Occurrence coverage?

1 Votes
tokmom said:
So, we really don't need insurance?

NSO holds my claim because I've always heard of them by instructors. Which company, if we need insurance, should we go with?

Why not check out allnurses' trusted and endorsed partner program, CM&F? They been handling nurses for 70 years since 1947!! The insurance carrier is Medical Protective and it is on the preferred "Occurrence" basis. Give them a try. https://www.cmfgroup.com/about-cm-f/cmf-partners/allnurses-members/

1 Votes

That's a loaded question and it depends. Are you a named insured on your hospital's policy - unlikely. Ask to see the policy. I spent years and years in ICU-CCU-ER and burn unit. After leaving clinical nursing I worked as a nursing consultant to an insurance company handling liability, malpractice, workers compensation etc. One of the ICU nurses I worked with did not recognize the signs of increased intracranial pressure and the patient had an uncal herniation. Everyone was sued including the RN. She thought because she had her own malpractice policy she was doubly covered. Well a RN malpractice policy usually states that "if there is any other coverage at the time of the occurrence then this policy is secondary". She found herself without coverage because of this (language can be found under the conditions section of a policy). She had to hire an attorney to fight both her malpractice carrier and the hospital's malpractice carrier for coverage, and an attorney for the negligence action. She did eventually get coverage through the hospital but after a long fight that was not cheap. Do your homework first. Now if you're on your front porch and someone drops over in front of you on your sidewalk and you help them, you bet you're covered.

1 Votes

The link works, it is when you attempt to submit information that a pop up comes in and states: "There was an error with your request! Please contact an administrator for assistance." Then an "ok" button to get rid of the pop up.

1 Votes
Specializes in Education, FP, LNC, Forensics, ED, OB.
Chr1zz1e said:
The link works, it is when you attempt to submit information that a pop up comes in and states: "There was an error with your request! Please contact an administrator for assistance." Then an "ok" button to get rid of the pop up.

Thank you for the information.

I will forward this to the Tech Admin for assistance.

Thank you.

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

Hello Chr1zz1e

We can confirm the problem and have contacted the appropriate individual(s) to correct the problem.

Thank you very much for alerting us to this. We appreciate you.

1 Votes
Specializes in Med/Surg/Infection Control/Geriatrics.

Malpractice insurance only tells the opposition that there is something ($$) to go after. I use to carry it. I don't anymore.

Most employers carry it.

1 Votes
Specializes in experienced in 11 areas of nursing.

Is it too late to get insurance after an incident? Don't have insurance and have been called for a subpoena.

1 Votes
cyb said:
Is it too late to get insurance after an incident? Don't have insurance and have been called for a subpoena.

You can get insurance now that will cover you for any future incidents, but, just like car or homeowner's insurance, there is no professional company that will sell you coverage for something that has already happened. Best wishes!

3 Votes
Specializes in Sm Bus Mgmt, Operations, Planning, HR, Coaching.

allnurses has an affiliate relationship with a Medical company, CM&F, to give members an EXCLUSIVE discount. If you use this link, you get 10% off your quote.  Give it a try and let us know your experience. Thanks!

2 Votes