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 LTC.

Good point. And I'm think the slight ($8) diff in premiums is really nothing when you consider the peace of mind. Thanks!

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Specializes in OB, HH, ADMIN, IC, ED, QI.
PennStudent said:
Good point. And I'm think the slight ($8) diff in premiums is really nothing when you consider the peace of mind. Thanks!

Be sure to check what they cover.

There's a thread here, about 2 nurses in Texas who reported a doctor for malpractise. Their insurance company wasn't mentioned, but one of them posted that their situation (the doctor sued them) was turned down, for coverage of that episode..... :madface:

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lamazeteacher said:
Be sure to check what they cover.

There's a thread here, about 2 nurses in Texas who reported a doctor for malpractise. Their insurance company wasn't mentioned, but one of them posted that their situation (the doctor sued them) was turned down, for coverage of that episode..... :madface:

The two nurses in TX have been indicted on criminal charges, which professional liability coverage doesn't cover (there's no such thing as insurance that protects you for being charged with breaking the law), and another member posting on that thread mentioned being involved in a SLAPP (nuisance) lawsuit, and her insurance not covering that. She didn't offer any details, but, from what she did say, it sounds like that suit is not related to particulars of her nursing practice, so professional liability coverage would not cover that, either.

Professional liability coverage protects your license; it's not intended to provide coverage for any legal difficulty one may ever get into (if it was, it would cost a !@#$ of a lot more than $100/year! :D)

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Specializes in Surgical Intensive Care.

Excellent discussion and YES, ALL nurses should carry their own . One of the biggest benefits offered in carrying your own policy which has not been discussed is LICENSE PROTECTION. Considering that the number of complaints being filed with nursing boards is on the rise, and the fact that states are now requiring nurses to report even misdemeanor criminal convictions which will trigger an investigation, this benefit is alone is enough to justify the less than $100 cost per year. For example, NSO offers up to $25,000 aggregate or up to $10,000 for reimbursement of attorney fees and expenses related to your defense in a license or disciplinary action. Many nurses are not represented in nursing board investigations/complaints because they can't afford to have an attorney represent their interests. However, when its your license on the line, I don't think you can afford not to have your own attorney and having insurance to help pay for your legal defense is well worth the cost of the premium. If you don't have to use it, even better. As others have said, it's a small price to pay for the peace of mind. (These are my personal opinions, not legal advice.)

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After reading this post I right away logged on to nso.com and bought . I never really knew how important it is to have your own insurance, I thought everything was okay as long as your employer covered you. I was wondering if anyone knew if the nso insurance covers multiple employers because when I applied it only had a slot to eneter the name of one employer?

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Specializes in Education, FP, LNC, Forensics, ED, OB.
Angie123 said:
After reading this post I right away logged on to nso.com and bought malpractice insurance. I never really knew how important it is to have your own insurance, I thought everything was okay as long as your employer covered you. I was wondering if anyone knew if the nso insurance covers multiple employers because when I applied it only had a slot to eneter the name of one employer?

Hello Angie,

Good to read that you've purchased the insurance.

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I applied it only had a slot to eneter the name of one employer?

The insurance will cover multiple employers. The question asked on the application was:

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Please provide the following information regarding your primary employer:

So, it asks the "primary employer" and is not necessary to list them all. Many of us are employed (full-part time) by more than one employer.

1 Votes
Specializes in OB, HH, ADMIN, IC, ED, QI.
Angie123 said:
After reading this post I right away logged on to nso.com and bought malpractice insurance. I never really knew how important it is to have your own insurance, I thought everything was okay as long as your employer covered you. I was wondering if anyone knew if the nso insurance covers multiple employers because when I applied it only had a slot to eneter the name of one employer?

While I agree with your decision, that some insurance is better than no malpractise insurance, I hope you read the contract when you receive it, and see what the cap of expenditures is, totally in the lifetime of the coverage.

Also, get their guidelines for what cases involving you, they'll "take".

I read a post regarding a nurse whose insurance, which I thought was nso, wouldn't apply their legal services to the type of case involved!

1 Votes
Specializes in Education, FP, LNC, Forensics, ED, OB.
lamazeteacher said:
While I agree with your decision, that some insurance is better than no malpractise insurance, I hope you read the contract when you receive it, and see what the cap of expenditures is, totally in the lifetime of the coverage.

Also, get their guidelines for what cases involving you, they'll "take".

I read a post regarding a nurse whose insurance, which I thought was nso, wouldn't apply their legal services to the type of case involved!

I'm not certain, but think that post to which you refer regarded criminal charges and no amount of covers that.

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Specializes in OB, HH, ADMIN, IC, ED, QI.
sirI said:
I'm not certain, but think that post to which you refer regarded criminal charges and no amount of malpractice insurance covers that.

That's possible, and I'm still having a lapse of memory as to the specific case, or what thread it was on. I do remember that it was about a case wherein she was accused of some wrongdoing, but just can't get a "handle" on what other elements were involved. It sure made me think about what was covered and what wasn't, though!:confused:

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

I seriously doubt any Carrier would be able to define each and every scenario of possibilities for coverage, but it is a very wise decision to check out the "fine print" and/or seriously go over the coverage for any policy. I agree.

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I do have myself. One of the thoughts I have heard on the subject is, if you have the insurance you will be sued. If you don't have the insurance the chances are less likely. They go after who ever has the deepest pockets.

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Specializes in Education, FP, LNC, Forensics, ED, OB.
wacberry said:
One of the thoughts I have heard on the subject is, if you have the insurance you will be sued. If you don't have the insurance the chances are less likely. They go after who ever has the deepest pockets.

No one knows if you have liability coverage when they choose to file a suit.

This information is discovered later.

Whether or not you have additional insurance has no bearing if you will be sued.

1 Votes