Regulatory liability
Kelly Webster
Focus Group Leader - Healthcare Management Liability
Beazley's Healthcare Regulatory product is designed to respond to actions brought by or on behalf of government entities for billing errors and omissions. Our policy also covers claims brought by commercial payors and defense expenses for formal voluntary disclosures to the government. Coverage includes attorney fees, external auditor and medical expert costs associated with defending these claims as well as fines and penalties and damages attributed at the time of settlement. Our reimbursement policy is available in all 50 states.
Claims Triggers
Defense reimbursement and external forensic audit expenses, civil fines and penalties (where applicable) for various billing errors and omissions, as well as other regulatory violations including:
- Medicare and Medicaid billing investigations
- False Claims Act allegations
- Commercial Payor actions
- Anti-kickback statute violations
- Stark Law violations
- Qui Tam actions
- Government or private contractor audits
- Search warrants/subpoenas
- Voluntary disclosure to a government entity
Appetite
Not for profit hospitals and health systems. Not for profit medical clinics and long term care facilities. For profit physician groups. All risks with over $35,000,000 of revenue annually.
Specifications
- Up to $20,000,000 in Limits
- Minimum retention of $250,000
- Minimum of 10% coinsurance
- Optional retroactive buy back coverage for up to 3 years
Key territories
- US 50 States
- Non-admitted or Admitted
Not covered
Business disputes, restitution, disgorgement, criminal actions, costs associated with implementing a corporate integrity agreement, moral hazards knows losses or circumstances, internal costs for auditors and coders.
Regulatory liability team
Claims
Claims Manager Specialty Lines
Olivia Nelson
San Francisco, CA, USA
Underwriters
Underwriter - Healthcare Management Liability
Scott Adams
Chicago, IL, USA
+1 312 476 6271
scott.adams
Underwriter - Healthcare Management Liability
Stavan Israel
Boston, MA, USA
+1 617 239 2609
stavan.israel
Underwriter - Cyber & Technology
Shannon Nisi
+1 213 228 7739
Shannon.Nisi
Underwriting Manager - Healthcare Management Liability
Jack Sheehan
Boston, MA, USA
+1 617 239 2626
Jack.Sheehan
Focus Group Leader - Healthcare Management Liability
Kelly Webster
Chicago, IL, USA
+1 312 476 6211
kelly.webster
Underwriter - HML
Nameer Zaheer
+1 972 419 8030
Nameer.ZaheerRegulatory liability forms
Application forms
Brochures
The descriptions contained on this website are for preliminary informational purposes only. In the US, the product may be available on an admitted basis in some but not all jurisdictions through Beazley Insurance Company, Inc. In other US jurisdictions, the product is underwritten by Beazley syndicates at Lloyd's and is available only on a surplus lines basis through licensed surplus lines brokers. The publication and delivery of the information contained herein is not intended as a solicitation for the purchase of insurance on any US risk.
Except where products are issued by Beazley Insurance Company, Inc., coverages are underwritten by Beazley syndicates at Lloyd's and will vary depending on individual country law requirements and may be unavailable in some countries. The exact coverage afforded by the products described herein is subject to and governed by the terms and conditions of each policy issued.
Some coverages are made available through Beazley USA Services, Inc., which is a service company that is a part of the Beazley Group and has authority to enter into contracts of insurance on behalf of the Lloyd's underwriting members of Lloyd's syndicates 623 and 2623 which are managed by Beazley Furlonge Limited. Beazley USA Services, Inc. is licensed and regulated by insurance regulatory authorities in the respective states of the US and transacts business in the State of California as Beazley Insurance Services (License#: 0G55497).