What is the limit structure under a physician's, surgeon's, and dentist's professional liability policy?

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The limit structure under a physician's, surgeon's, and dentist's professional liability policy is typically defined as "per claim per aggregate." This means that there are two key components to the coverage limits:

  1. Per Claim Limit: This is the maximum amount the insurance will pay for each individual claim or incident. If a physician is faced with multiple claims, each claim is assessed individually against this limit.
  1. Aggregate Limit: This represents the total maximum payout the insurance will cover during a specific policy period, usually a year. This encompasses all claims that may arise within that timeframe.

By having both a per claim limit and an aggregate limit, the policy ensures comprehensive coverage of liability for individual incidents while also capping the insurer's total exposure over a policy year. This structure is important for healthcare professionals as it provides financial protection against multiple claims while managing potential losses for the insurer.

Other options, such as an annual aggregate maximum or a lifetime benefit limit, focus on different frameworks of coverage and might not adequately address the per incident considerations inherent in professional liability exposures, potentially leading to insufficient coverage in situations with multiple claims within a policy period.

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