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.

Which company is better?? NSO or Proliabilty?

1 Votes
Specializes in Med-Surg.

What if I get it in the state I'm working in now but plan on moving to another state later this year? Do I just contact the company I have insurance through? Or am I covered no matter what state I'm in?

1 Votes
yooper86 said:
What if I get it in the state I'm working in now but plan on moving to another state later this year? Do I just contact the company I have insurance through? Or am I covered no matter what state I'm in?

Contact your provider promptly (I would do it well in advance) and discuss your plans with them -- since premiums are partially determined by where you are practicing, the move may change your premium. (And, if "something happened" in your new location, I'm sure the company would claim you weren't covered since you didn't notify them of the change.)

1 Votes
Specializes in Med Sur, LTC.

Definitely, from my perspective. Over the years fortunately I only had one concern where I called the 800 number for my with a valid question/concern. All turned out well, but it was enough to make me realize there are patients, families etc. out there with unrealistic expectations sometimes.

Also, as the saying goes "To error is to be human" and an informed society now knows they can sue a nurse. Presently I am studying for CLNC certification which has opened my eyes wide into these possibilities because the corporation/hospital/nursing home etc. one works for does not protect/nor will they be standing next you in case of a lawsuit. Just a thought?

1 Votes
Specializes in ER, progressive care.

As a new grad RN starting in progressive care by the end of this month, I am seriously considering purchasing . I got a quick quote from NSO. First year (discount), employed full-time, living in Texas...at $126.50 for only $100,000/$300,000? And it seems like that is all the coverage that is offered.

Should I go with it or find another company that offers more coverage?

1 Votes
Specializes in Med Sur, LTC.

Since I am older and wiser, absolutely do not work without . Take a look through the recommendations of nurses on the blog.... NSO is a good choice and one I have used for many years. Presently working in a supervisory capacity would not even consider working without coverage. Carefully watch some of the lawyers ads on TV about medical negligence etc. that should make your decision an easy one.

Best of Luck!!- in your new exciting nursing career.

1 Votes
Specializes in Vents, Telemetry, Home Care, Home infusion.

melosaurrn, that is what most companies are offering and should suffice for new grad.

1 Votes
Specializes in ER, progressive care.
nrskarenrn said:
melosaurrn, that is what most companies are offering and should suffice for new grad.

I decided to get a quote from Proliability and they offer a lot more coverage....1m/6m with a $45 premium or 2m/4m with a $53 premium...those seem like a better option to me? Or should I just go with the $100,000/$300,000 with NSO? It just seems a lot more expensive for a lot less coverage ($126.50).

Though I'm also confused on how those premiums work...is it for every month/every 6 months? Is the $126.50 quote that I got from NSO every month or for every 6 months?

1 Votes
Specializes in Education, FP, LNC, Forensics, ED, OB.
melosaurRN said:
I decided to get a quote from Proliability and they offer a lot more coverage....1m/6m with a $45 premium or 2m/4m with a $53 premium...those seem like a better option to me? Or should I just go with the $100,000/$300,000 with NSO? It just seems a lot more expensive for a lot less coverage ($126.50).

Though I'm also confused on how those premiums work...is it for every month/every 6 months? Is the $126.50 quote that I got from NSO every month or for every 6 months?

Proliability is one of the selections on the 1st page. ;)

This coverage sounds good. And, it does include coverage should you require an Attorney.

It pays to shop around to find the coverage that is right for you.

1 Votes
Specializes in ER, progressive care.

I decided to go with Proliability :) More coverage, more peace at mind God forbid something happens.

1 Votes

I am so thankful that I read this article. Thank you for the pointers. After reading through all of the comments. I think that I will do some shopping around. I might even go through the proliability. I want to have the most coverage as possible. Thank you melosaurRN.

1 Votes
Specializes in Medical.
elkpark said:
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)

Actually, my indemnity insurance does cover criminal charges associated with work. I hope I never need to access any legal services, but especially that one!

1 Votes