POLICY FOR DOCTORS
Professional Indemnity
Insurance for Doctors This insurance covers legal liability arising from errors
and omissions on the part of Registered Medical Practitioners while rendering
professional service. The policy indemnifies any act committed by the insured,
who shall be a Registered Medical Practitioner, giving rise to any legal
liability to Third Parties. The insured includes the policyholder and his
qualified assistants or employees as named in the proposal form. It applies to claims arising out of
bodily injury and/or death of any patient caused by or alleged to have been
caused by error, omission or negligence in professional service rendered or
which should have been rendered by the insured or qualified assistants named
in the schedule or any nurse or technician employed by the insured. a) Legal liability as fixed by
courts in b) Defence costs and expenses. This means all costs, fees
and expenses incurred with the prior consent of the insurer in the
investigation, defence or settlement of any claim made against the insured,
provided the claim falls within the ambit of the policy. The amount of payment under (a) and
(b) will not exceed the amount insured for in the policy under the limit of
Any One Accident (AOA) in respect of any or all claims made against the insured
arising out of Any One Accident. a. Third party public liability. b. Fines, penalties, punitive or exemplary damages. c. Any loss of financial nature like loss of goodwill,
loss of market etc. d. Liability, if any, assumed by agreement and which would
not have attached if not for the agreement. 1. Retroactive Benefit This means that the insured will be
covered for any professional act or omission occurring during theperiod of
insurance, which means the
first date of the first policy, provided that the policy is renewed without
interruption and is in force when the claim arising out of the act or
omission is made in writing against the insured during the poiicy period. Policy period means the period
incepting from the date and hour mentioned in the policy schedule and
terminating at midnight on the expiry date indicated in the policy schedule. 2. Notification Extension Clause If the insured notifies during the
policy period any specific event or circumstance which the insurer accepts
may give rise to a claim, then the acceptance of such notification means that
the insurer will deal with the claim as if it has been made during the policy
period. 3. Extended Claim Reporting Clause In the event of non-renewal or
cancellation of the policy, the Insurer will allow a time limit up to 90
days, provided another policy does not exist, for notification of claims for
accidents which had taken place during the period of insurance. AOA means Any One Accident, which may include one or more,
or a series of claims arising out of the same cause or error or omission
relating to professional service. AOY means Any One Year. The Insured can
choose an indemnity limit which can be in the ratio 1 ;1, :2,1:3,1:4 of AOA :
AOY and the premium will be charged on AOY limit. 1. Liability arising from any criminal act or act in
violation of any law or ordinance. 2. Services rendered under the influence of intoxicants or
narcotics. 3. Dental treatment under general anaesthesia except in a
hospital. 4. The use of drugs for weight reduction. 5. Plastic surgery except for repair of scar being the result
of previous surgery, or in connection with burns or other traumatic injury. 6. AIDS related conditions. 7. Due to intentional non-compliance of statutory provisions. 8. Personal injuries such as libel, false arrest, defamation,
mental injury, shock etc. 9. Genetic injuries caused by x-ray and radioactive
substances. 10. Caused by intentional disregard of
technical or administrative management of the need to take ail care to
prevent claims. 11. Liability to
employees/apprentices/contractors/genera! third party public. Important
Conditions 1. Early written notice of any claim
to the insurer. Sending of any claim, writ, summons or process and ail
documents to the Insurer. 2. No admission offer promise or
payment to be made without the consent of the Insurer. 3. The Insurer has the right to take
over and conduct in the name of the Insured, the defence/settlement of the
claim. 4. The Insured shall give all such
information and assistance as the company may reasonably require. 5. No short period policy is permitted
i.e. all policies will be for 12 months. Varies between 0.30
per thousand rupees and 3.00 per thousand rupees depending upon (a) Category
of Doctor and (b) AOA : AOY ratio
chosen.
Salient Feature
Scope of Cover
Exclusions
Special Benefits
Meaning of AOA : AOY
Main Exclusions
Indicative Premium Rate