Aon Malaysian Medical Indemnity

Transcription

1 Aon Risk Solutions Healthcare Aon Malaysian Medical Indemnity Doctor s Handbook and Claims Protocol Risk. Reinsurance. Human Resources.

2 Content Malaysian Medical Indemnity (MMI) Insurance is managed by Aon Insurance Brokers (M) Sdn Bhd. Aon has been providing Medical Indemnity Insurance solutions to Malaysian doctors since The MMI Insurance Scheme has been developed to provide a wider form of cover that is generally available in the insurance market. Your MMI policy is underwritten by MPI Generali Insurans Berhad and is fully supported by a strong panel of Malaysian-based and regulated insurers. This Handbook provides details of the following: About MMI...3 MMI Highlights... 4 Selecting your Limit of Indemnity... 5 Claim Reporting Requirements... 6 Claim Notification Process... 6 Claim Management Protocol... 7 Support and Resources... 8 FAQ...9 Legal Disclaimer Aon Malaysian Medical Indemnity

3 About Malaysian Medical Indemnity (MMI) Malaysian Medical Indemnity (MMI) Insurance is a scheme arranged by Aon Insurance Brokers (M) Sdn Bhd (Aon Malaysia). Aon Malaysia has been providing Medical Indemnity Insurance solutions to Malaysian doctors since The MMI Insurance scheme has been developed to provide a wider form of cover than what is generally available in the insurance market. Aon Malaysia works with experienced malpractice lawyers in Malaysia to ensure that you receive the most effective representation, and places your cover with a strong panel of Malaysian-based and regulated insurers. How to apply? To apply for MMI protection, please log on to our website at aonmmi.com.my. Should you prefer to apply for cover manually, please contact the Aon MMI Service Team who will be able to assist. A poorly managed malpractice Insurance Protection for claim can do irreversible harm more than to your professional reputation Other providers may come doctors and go, but MMI enhances the Securing Over protection of your interests, Settlements totaling more than 1000 your practice, and your RM40 mil claims managed assets. Along with our claims management expertise, Aon Malaysia offers risk management resources and data analytics, to help you minimise the risks associated with your practice. This is why the Aon Malaysian Medical Indemnity (MMI) Insurance which has been in operations in Malaysia for over 15 years, is your best choice. Aon Malaysian Medical Indemnity 3

4 MMI Highlights 01 Consistent Policy Wording MMI provides cover on claims made basis, meaning that you are covered when a claim is reported during the policy period 08 Free Locum Cover Cover is extended to include liability arising from the use of Locum whilst working for the insured doctor (subject to terms and conditions on some categories) 02 Damages, Defence Cost & Legal representation cost MMI s core benefit is protection against claims brought against you alleging malpractice during the period of cover. MMI covers your defence costs, plus any settlements or awards, up to your selected limit of indemnity including official investigation costs, examination inquiry or other proceedings ordered or commissioned by an official body and any coroner s inquest arising out of the death of any patient Free Auto reinstatement The aggregate limit in respect of all claims against the Insured under the policy for any one period of insurance will be doubled. The limit in respect of any one claim remains unchanged (subject to terms and conditions on some categories) Free Life Time Run-Off Cover for Retired Doctors Life Time Run-Off cover at no additional cost for retired doctors under the MMI scheme for five years 03 Good Samaritan Acts MMI provides worldwide cover for claims arising from good Samaritan acts - treatment provided at the scene of a medical emergency where you are present by chance 11 Experience & Capabilities Vast experience in handling medical malpractice scheme across the region in Hong Kong, Singapore and Malaysia 04 Libel and Slander MMI covers the cost of defending an allegation of libel or slander arising from your practice, until such time as libel or slander is determined 12 No Claim Bonus Discount A 2.5% no claim bonus will be offered on the gross premium rate for doctors with no claims history for past three years under the same category with continuous cover 05 Strong & Experienced Panel of Lawyers MMI offers you access to an experienced panel of lawyers in the event of a potential circumstance or claim notification 13 Resources Aon shares regular updates with key insights on Healthcare Risk Management through our website, newsletters and roadshows Dedicated Claims Expertise Dedicated claims advisory to advise you on your risk matters Full Retroactive Cover MMI offers full retroactive cover where you are insured from when you started practicing medicine 14 Public Relations Cost MMI covers reasonable professional fees, costs or expenses of a qualified public relations or crisis management firm retained by your Insurer on behalf of you to minimise the actual or potential harm from a crisis 4 Aon Malaysian Medical Indemnity

5 Selecting your Limit of Indemnity The most important decision that you need to make when you take up MMI protection is the Limit of Indemnity. Like any insurance policy, MMI provides doctors with the option of choosing from a range of limits that will apply in the aggregate to all claims arising from treatment provided during the one year policy period. MMI provides choices of limit ranging from MYR 1 million to MYR 5 million in the aggregate. When selecting your MMI limit of indemnity, please consider the following: The nature of your practice. Some specialties, including obstetrics, orthopedics, and neurosurgery have a higher risk of large malpractice claims due to the nature of treatment or the age of the patients. The number of patients you treat. The MMI limit of indemnity is an aggregate limit, which means that the limit is shared amongst all claims arising from treatment given during the 12-month policy period. The possibility of the limit being required to cover more than one claim should be taken into account. The impact of inflation. In some cases, it is possible for claims to be brought many years after the date of treatment. The limit of indemnity that you select therefore needs to account for the possibility that a claim made in the future may be a higher value claim than it is today. Should you require any assistance in selecting an appropriate limit of indemnity, please contact the Aon MMI Service Team. Aon Malaysian Medical Indemnity 5

6 Claim Reporting Requirements Claim Notification Process Your MMI policy document contains the following condition in respect of claims. It is a condition precedent to the right of the Insured to be indemnified under this Policy that notice of any Claim shall be given to the Insurer immediately upon the insured becoming aware thereof. A breach of this condition precedent will entitle the Insurers to decline all indemnity to the Insured in respect of any Claim. For the purposes of the MMI policy, a Claim means: If you become aware of a potential circumstance that may lead to a claim against you or when you receive a letter of demand, legal threat or writ of summon during the policy period relating to your medical services rendered to patients, please notify Aon Malaysia as soon as practicable. This will enable you to get the required support and assistance and may also help to mitigate a claim or circumstance at an early stage. Please complete the Claim Notification Form which will assist the Insurer to process your notification smoothly. any claim for actual or alleged Malpractice first made against theinsured during the Period of Insurance; any official investigation, examination, inquiry or other proceedings, coroner s inquest, prosecution or disciplinary proceedings first notified to the Insured during the Period of Insurance. The Insured shall give immediate written notice to the Insurers of any circumstances which may give rise to a Claim for Malpractice. If, during the Period of Insurance, the Insured gives written notice to Insurers in accordance with this clause, any Claim subsequently made against the Insured arising out of the notified circumstances shall be deemed to have been first made against the Insured during the Period of Insurance. Should you be in any doubt as to whether a particular matter is notifiable, please contact the Aon MMI Service Team. Should you be in any doubt as to whether a particular matter is notifiable, please contact the Aon MMI Service Team. Please contact the Aon MMI Service Team, if you do not receive an acknowledgement letter within the time frame mentioned above or if you require urgent assistance. 6 Aon Malaysian Medical Indemnity

7 Claims Management Protocol Once you have submitted your notification and the Claim Notification Form, within two working days, upon review of your notification and notifying the insurers about the claim or potential claim, Aon will send you an acknowledgement letter. Depending on the nature of the notification, this could range from a simple agreement to monitor any further developments through to the immediate appointment of lawyers to conduct the defence of a legal claim. It is critical that you should not respond to any demand, offer any settlement, or issue any apology or statement in relation to a claim circumstance or event prior approval from the Aon MMI Service Team or the insurers. Should you require any assistance in selecting an appropriate limit of indemnity, please contact the Aon MMI Service Team. Aon Malaysian Medical Indemnity 7

8 Support and Resources Aon Malaysia has prepared a range of resources to support doctors who choose MMI protection as follows: Aon MMI Service Team The Aon MMI service team is available during business hours to provide advice on any claims-related matter. The team members and their contact details are as follows: AON INSURANCE BROKERS (MALAYSIA) SDN BHD A member of Malaysian Insurance and Takaful Brokers Association Education and Training Aon will be arranging a series of seminars and training events on claims reporting, clinical risk management and other relevant topics. Details of these events will be shared by throughout the year. Risk Management Resources The Aon MMI website contains a substantial collection of risk management resources for doctors. For more information, please refer to the resources section at aonmmi.com.my Level 10, Tower 3, Avenue 7 The Horizon, Bangsar South No. 8, Jalan Kerinchi Kuala Lumpur Tel Fax mmi@aon.com 8 Aon Malaysian Medical Indemnity

9 FAQ When was the MMI scheme launched? Aon Malaysia has been providing Medical Indemnity Insurance solutions to Malaysian doctors since Why did Aon Malaysia decide to launch MMI? In recent years, Aon has received many requests from Malaysian doctors for an alternative protection against malpractice claims. MMI is our response to the need for a malpractice protection that combines cover with the certainty provided by an insurance contract that includes a written policy document. How is MMI arranged? Aon Malaysia acts as an independent insurance broker on behalf of Malaysian doctors who wish to take up cover. MMI Insurance is underwritten by MPI Generali Insurans Berhad and supported by a strong panel of Insurers. Who is covered under MMI? Each MMI Insurance policy covers the individual doctor for claims arising from medical practice worldwide excluding USA & Canada. What is covered under MMI? The key protection is for claims brought against doctors alleging negligence in the provision of medical malpractice. In such cases, MMI will cover the cost of appointing legal counsel to defend claims, the amount of any settlements, and court awards of judgments and costs. Contact Aon s MMI Service Team for a copy of the MMI policy wording. Does MMI extend to Malaysian Medical Council (MMC) Complaints? Yes. Protection for the costs of dealing with any MMC complaints against you including legal representation at a Malaysian Medical Council Disciplinary Tribunal hearing arising from treatment provided by a doctor is included under MMI. Can MMI cover me outside Malaysia? The protection provided by MMI is for medical care provided worldwide excluding USA & Canada. What happens when I retire or cease practice? MMI provides free protection for run-off cover for retired directors who have been with MMI for five years. In addition, run-off cover is available for doctors who cease practice or change practice at a nominal additional premium. How do I make a notification? Please download the Claims Notification form and contact MMI Service Team. What happens after I notify Aon Malaysia about my claim? Within two working days of making a notification, an Aon MMI representative will contact you to discuss your notification and agree on the next steps. Aon Malaysia will then guide you throughout the claim process to the final resolution of the claim. Will lawyers be appointed to defend me? Yes, where required, Aon has a panel of MMI-approved law firms, all of whom have substantial experience in managing malpractice claims. Will I need to bear any costs myself? No. There is no deductible under MMI, so doctors are not required to contribute anything to the cost of investigating, defending or settling claims. How can I obtain a certificate confirming that I am covered? Should you require a certificate to provide evidence that you are protected by Malaysian Medical Indemnity (MMI) Insurance Policy, please contact the Aon MMI Service Team. Who do I contact for more information? Contact the Aon MMI Service Team. Please note that these FAQs are intended to offer a general overview only and should not be relied upon as a substitute for seeking professional advice. For full terms and conditions, please contact the Aon MMI Service Team for a copy of the policy. We recommend that you speak with a member of the Aon MMI Service Team to assess whether MMI is suitable for your particular risks and needs. Aon Malaysian Medical Indemnity 9

10 Legal Disclaimer The MMI benefits outlined in this handbook are a summary only for your general information and are subject to the terms, conditions and exclusions of the insurer s policy wording which may change from time to time. Refer to the policy document for complete and most up to date details. MMI is underwritten by MPI Generali Insurans Berhad (and associated carriers) and not by Aon Malaysia. This handbook is not a contract of insurance nor an offer or solicitation by Aon Malaysia to enter into any contract of insurance. You should apply for this product only if it is suitable for your specific risks and needs. Please seek advice from Aon MMI Service Team or another professional adviser if you are uncertain as to whether this product is suitable for you. A professional adviser will be able to take into account your financial situation or particular needs, before advising you on the suitability of the product. If you choose not to seek advice from a professional adviser, you must consider for yourself if the product is suitable for your specific risks and needs. Your decision to proceed to purchase the product constitutes your consent and confirmation that you have determined that the product is suitable for your specific risks and needs and that we will not be required to seek alternative quotations or identify alternative products for your consideration. 10 Aon Malaysian Medical Indemnity

11 Contacts Sarjit Singh Tamaraa Baisil Aon Malaysian Medical Indemnity 11

12 About Aon Aon plc (NYSE:AON) is a leading global provider of risk management, insurance brokerage and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 72,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative risk and people solutions. For further information on our capabilities and to learn how we empower results for clients, please visit: aon.mediaroom.com Aon plc All rights reserved. The information contained herein and the statements expressed are of a general nature and are not intended to address the circumstances of any particular individual or entity. Although we endeavor to provide accurate and timely information and use sources we consider reliable, there can be no guarantee that such information is accurate as of the date it is received or that it will continue to be accurate in the future. No one should act on such information without appropriate professional advice after a thorough examination of the particular situation. Risk. Reinsurance. Human Resources.