Medical Liability Insurance

Medical professional liability insurance for allied health care professionals including nurses, CRNAs, physician assistants, paramedics, pharmacists, podiatrists, chiropractors, technicians, therapists, and surgical assistants.

Claims made policy

A claims made policy is designed to protect you during the active policy period, usually one year. If you do not renew your claims made policy when it expires, you no longer have coverage for any claims that may arise in the future that are alleged to have occurred during the time your policy was in force.

If you wish to continue coverage under a claims made policy, you must purchase supplemental coverage such as tail coverage or prior acts coverage. If neither tail coverage nor prior acts coverage are purchased when a claims made policy expires, any future claims that might arise from services performed during the policy period will not be covered.


Claims made policies are available with the following limits.

    Each claim / All claims

  • $100,000 / $300,000
  • $200,000 / $600,000
  • $300,000 / $900,000
  • $500,000 / $1.5 million
  • $1 million / $3 million

Occurrence policy

An occurrence policy provides ongoing insurance protection for events that occur during the policy period, even if they are reported after the policy is cancelled.

Occurrence policies are generally more expensive, but it is not necessary to buy supplemental coverage like tail or prior acts coverage after an occurrence policy expires.


Occurrence policies are available with the following limits.

    Each claim / All claims

  • $100,000 / $300,000
  • $200,000 / $600,000


Because the threat of a disciplinary action is all too real, TMIC policies include Medefense coverage. Medefense covers legal expenses, fines, and penalties associated with disciplinary actions, such as actions by a state medical board, a hospital review committee, or a federal regulatory agency.

Medefense is available for the following health care professionals: physician assistants, CRNAs/nurse anesthetists, nurse midwives, nurse practitioners, paramedics/EMTs, podiatrists, dentists, chiropractors, or pharmacists.


Legal expenses: $25,000
Deductible: $1,000 per claim

Policyholders have free choice of counsel. However, we will waive the deductible and pay legal expenses directly if the policyholder hires an attorney from a panel provided by TMIC.

The covered disciplinary proceedings include:
  • actions by a state medical licensing authority;
  • a professional review action regarding clinical privileges;
  • a proceeding instituted by a state department of insurance, state workers’ compensation commission, state department of health and human services, the U.S. Department of Health and Human Services, or Centers for Medicare and Medicaid Services alleging medical services were performed in violation of guidelines;
  • Medicare billing audits conducted by Recovery Audit Contractors (RAC) or other private contractors as well as allegations of non-compli­ance with Medicare/Medicaid regulations or procedures; and
  • proceedings alleging violations of EMTALA, HIPAA, and Stark law.

Risk Management

Continuing Medical Education

Through TMLT's Risk Management Department, TMIC policyholders can take CME courses to help reduce medical liability risk. Our continuing education resources include home-study programs, online courses, and seminars.

Visit our CME site for courses published in our newsletter the Reporter. You can also earn credit by reading one of our Case Closed books, which feature claim studies from malpractice claims. Video courses are also available.

Practice review

TMLT’s Risk Management Department conducts on-site practice reviews to help determine risk exposures in your practice, at no cost to TMIC policyholders. Reviews can be conducted without disrupting patient appointments or normal business operations.

During a scheduled practice review, a TMLT risk management professional visits your practice to:

  • tour and assess the practice for patient safety concerns;
  • review medical records for strengths and weaknesses;
  • review policies and procedures;
  • meet with physicians and health care providers to discuss findings; and
  • prepare a recommendation report.

To request a practice review or find out about risk management resources available at no cost to our policyholders, please call 800-580-8658.