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Professional liability ("malpractice") insurance for dentists and oral surgeons (both DDS's & DMD's) has customarily been written on either a claims-made or occurrence basis, with basic liability limits of $1 Million per incident, with a $3 Million policy aggregate.  Excess limits are generally available, either on an individual basis or through a healthcare facility.

Underwriting is based upon a number of different factors, and each insurance company has their own set of criteria:

bulletNATURE OF PRACTICE: Obviously, some dental specialties carry a far greater litigation risk, and are thus going to be priced significantly higher than others.  For instance, a general dentist is going to pay a lower premium than, say, a periodontist, who in turn it going to pay less than an oral & maxillofacial surgeon.  Another key element of one's practice that has a significant impact upon the cost of insurance is anesthesia - conscious sedation, deep sedation or general anesthesia.  Premium costs aside, certain insurance underwriters are simply more comfortable with certain practice profiles than others.
bulletLOCATION: Where a dentist practices can have an impact on his/her premium.  Underwriters are keenly aware that courts and juries in different jurisdictions often come up with vastly different verdicts.  For instance, in my home state of New York, doctors who practice in the southern portion of the state will pay a higher premium than upstate practitioners.
bulletFULL TIME /  PART TIME: How many hours a dentist  practices each week is also a factor in pricing the policy.  Generally, 20 or more hours per week is considered "full time" and under 20 hours is considered "part time."
bulletTEACHING CREDITS: Some insurance carriers provide discounts to dentists who spend a significant portion of their time teaching.
bulletCONTINUING EDUCATION: While the requirements vary from state to state, most insurers provide discounts to dentists who attend certain continuing education or loss control courses.  Many insurance companies sponsor these courses for their policyholders.
bulletCONSENT TO SETTLE CLAUSES: Insurance companies will sometimes offer discounts to dentists who agree to allow the insurer to decide when and if to settle claims.  It is my experience, however, that most professionals prefer to maintain their right to consent to a settlement.
bulletCLAIMS FREE DISCOUNTS: A number of carriers offer a discount to those dentists who have been without claims for, say, five years or more.
bulletRECENT GRADUATE / NEW PRACTITIONER: Most insurance companies offer substantial discounts to dentists who are just beginning their practice.  These discounts are usually graded, and disappear after 2 or 3 years.
bulletCLAIMS HISTORY: Obviously, this is a critical factor.  While every underwriter appreciates the fact that in the increasingly litigious environment in the United States, many medical professionals of all types have had some degree of claims experience, an underwriter will look carefully at the twin issues of "frequency" and "severity."  Depending upon the dentist's specialty, it might be expected that there will be a "frequency" issue, though most actions should ultimately be either dismissed without payment or settled for nominal amounts.  On the other hand, a "frequency" issue might also serve as a "red flag" to an underwriter.  "Severe" claims are looked at very carefully, and are often analyzed by the underwriter's own claims department before a decision is made.  For a more in-depth discussion of non-standard medical malpractice insurance for "hard-to-place" professionals, please click here .

Without a doubt, the subject of professional liability insurance for dentists & oral surgeons is complex.  The "best" policy for you, may not be the "best" policy for the doctor down the hall!

I would be happy to discuss your particular situation in greater detail. You can click here  and complete a brief inquiry form, which will allow me to get back to you. Or, if you would prefer to, give me a call at 877-320-4061. This number is available 24-hours a day, and it will automatically try to find me, and will connect you to me if I am available. If I cannot take your call, you will have an opportunity to leave a private voicemail message, and will get back to you promptly. Of course, I can always be reached via e-mail at, insurance@professional-liability.com.

Thank you for your time . . . I look forward to speaking with you.

Bruce R. Swicker

Copyright 2002, Bruce R. Swicker, "The professional's insurance professional!"  All rights reserved.