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SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 Company Tracking #: State: New York Filing Company: TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Academic Health Professionals Insurance Association Project Name/Number: / Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Date Submitted: SERFF Tr Num: SERFF Status: State Tr Num: State Status: Co Tr Num: Academic Health Professionals Insurance Association 2019/2020 Rates New York 11.0 Med Mal-Claims Made and Occurrence 11.0023 Physicians & Surgeons Rate 07/25/2019 ADIC-132023920 Closed-Acknowledged R2019002635,R2019002635 Closed Effective Date Requested (New): Effective Date Requested (Renewal): Author(s): Reviewer(s): Disposition Date: Disposition Status: Effective Date (New): Effective Date (Renewal): 07/01/2019 07/01/2019 Beata Biernacka June Nguyen (primary), Jia Zhang 08/20/2019 Acknowledged This filing was provided as part of The New York Insurance ADVISOR Subscribe @ www.martincompanyus.com or call 800-896-8000 PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 Company Tracking #: State: New York Filing Company: TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Academic Health Professionals Insurance Association Project Name/Number: / General Information Project Name: Project Number: Reference Organization: Reference Title: Filing Status Changed: 08/20/2019 State Status Changed: 08/20/2019 Created By: Beata Biernacka Corresponding Filing Tracking Number: Status of Filing in Domicile: Pending Domicile Status Comments: Reference Number: Advisory Org Circular: Deemer Date: Submitted By: Beata Biernacka Filing Description: 2019/2020 Rtaes Company and Contact Filing Contact Information Steven Capone, Vice President, Senior Underwriter 1250 Broadway Suite 3401 New York, NY 10001 Filing Company Information Academic Health Professionals Insurance Association 1250 Broadway Suite 3401 New York, NY 10001 (646) 808-0608 ext [Phone] steve@academicins.com 646-808-0591 [Phone] 646-808-0601 [FAX] CoCode: 42544 Group Code: Group Name: FEIN Number: 06-1313252 State of Domicile: New York Company Type: Property & Casualty State ID Number: Filing Fees Fee Required? No Retaliatory? No Fee Explanation: State Specific Speed-To-Market Field: enter code "98" for Speed-To-Market filings Enter "0" for N/A.: Terrorism Exclusion Field: enter code "46-01" for filings which includes forms, rates or rules for the Terrorism Exclusion Enter "0" for N/A.: Mold (Fungi, Bacteria, Virus) Exclusion Field: enter code "46-02" for filings which includes forms, rates or rules for the Mold Exclusion Enter "0" for N/A.: On the Rate/Rule Schedule Tab, the "Add Rate Data" button must be changed to "yes" for all rating rules and rate filings in order for the appropriate fields to be completed Please enter "Yes" for filings with the rate data fields completed and "No" for all other filings.: yes PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Filing Company: Academic Health Professionals Insurance Association Correspondence Summary Dispositions Status Acknowledged Created By Siu Ping Wong Created On 08/20/2019 Date Submitted 08/20/2019 Objection Letters and Response Letters Objection Letters Status Pending Created By Siu Ping Wong Response Letters Created On 08/01/2019 Date Submitted 08/01/2019 Responded By Beata Biernacka Created On 08/07/2019 PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM Date Submitted 08/07/2019 SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Filing Company: Academic Health Professionals Insurance Association Disposition Disposition Date: 08/20/2019 Effective Date (New): Effective Date (Renewal): Status: Acknowledged Comment: This refers to your letter of July 25, 2019, submitting the captioned filing for review The Physicians and Surgeons Professional Liability rates, as established by the Superintendent are hereby acknowledged and placed on file, effective July 1, 2019 to June 30, 2020 Company Name: Academic Health Professionals Insurance Association Schedule Supporting Document Supporting Document Supporting Document Supporting Document Supporting Document Supporting Document Supporting Document Rate Rate Overall % Indicated Change: 3.000% Overall % Rate Impact: 3.000% Written Premium Change for this Program: $466,322 Number of Policy Holders Affected for this Program: 810 Written Premium for this Program: $15,544,068 Maximum % Change (where req'd): 5.540% Schedule Item Schedule Item Status Medical Malpractice Review Standards Checklist Explanatory Memorandum Rates and/or Rating Plans Minimum Premium/Return Premium and Minimum Earned Premium Rules Physician and Surgeon Merit Rating Plans Physician and Surgeon Risk Management Credits Consent-to-rate requirements 2019/2020 Rtaes premium distribution PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM Minimum % Change (where req'd): -3.130% Public Access Yes Yes Yes Yes Yes Yes Yes Yes Yes SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 Company Tracking #: State: New York Filing Company: TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Academic Health Professionals Insurance Association Project Name/Number: / Objection Letter Objection Letter Status Objection Letter Date Submitted Date Respond By Date Pending 08/01/2019 08/01/2019 08/16/2019 Dear Steven Capone, Introduction: This refers to the captioned filing submitted on July 25, 2019 Kindly advise if the company expects to see a significant change in the distribution of premium by territory in Policy Year 2019 from Policy Year 2018 If so, please explain We await your prompt reply In the meantime, the captioned filing is not approved for use in New York State A substantive reply must be submitted within 15 days If such response is not received, this file will be considered withdrawn and closed accordingly Should the company wish this Department to again review the subject matter of this filing, a new submission, that references the above State Tracking Number and at a minimum includes a memorandum which addresses the outstanding issues included in this correspondence, must be made in accordance the provisions of Department Circular Letter No (2009) and SERFF filing submission guidelines Conclusion: Sincerely, Siu Ping Wong PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Filing Company: Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Academic Health Professionals Insurance Association Response Letter Response Letter Status Response Letter Date Submitted Date Submitted to State 08/07/2019 08/07/2019 Dear June Nguyen, Introduction: Below is the Academic Health Professionals Insurance Association’s “Academic” response to the question you raised in your August 1, 2019 Objection Letter Question: Kindly advise if the company expects to see a significant change in the distribution of premium by territory in Policy Year 2019 from Policy Year 2018 If so, please explain If you have any additional questions please not hesitate to contact me Sincerely, Steven Capone Response Comments: Response: There have been changes to the premium distribution in our policy year 2019 premium writings compared to policy year 2018 due to the following: currently Academic no longer insurers the faculty at SUNY Upstate Medical University -except for a few physicians who remained- (territory 00), we experienced reductions at New York Medical College (territory 01) and SUNY Downstate (territory 02) Attached is the comparison for policy years 2018 and 2019 Changed Items: No Supporting Documents changed No Form Schedule items changed Rate Schedule Item Changes Item No Exhibit Name premium distribution Rule # or Page # Rate Action New Previous State Filing Number Conclusion: PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM Date Submitted 08/07/2019 By: Beata Biernacka SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Filing Company: Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Academic Health Professionals Insurance Association Sincerely, Beata Biernacka PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Filing Company: Academic Health Professionals Insurance Association Rate Information Rate data applies to filing Filing Method: Rate Change Type: Overall Percentage of Last Rate Revision: Effective Date of Last Rate Revision: Filing Method of Last Filing: SERFF Tracking Number of Last Filing: % % Company Rate Information Company Name: Academic Health Professionals Insurance Association Overall % Indicated Change: 3.000% Overall % Rate Impact: 3.000% Written Premium Change for this Program: $466,322 Number of Policy Holders Affected for this Program: 810 Written Premium for this Program: $15,544,068 PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM Maximum % Change (where req'd): 5.540% Minimum % Change (where req'd): -3.130% SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Filing Company: Academic Health Professionals Insurance Association Rate/Rule Schedule Item No Schedule Item Status Exhibit Name 2019/2020 Rtaes premium distribution Rule # or Page # Rate Action New Previous State Filing Number New PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM Attachments AHPIA 2019-2020 calculations.xls AHPIA Rates 2019-2020.xlsx AHPIA 2019-2020 class listing.pdf territory definitions 20192020.pdf DFS Response Distribution Comparison 2018 v 2019.xlsx ACADEMIC HEALTH PROFESSIONALS INSURANCE ASSOCIATION RATING CLASSIFICATIONS 2019-2020 CLASS DESCRIPTIONS CLASS 10 CLASS DESCRIPTION 11 12 13 14 15 16 17 18 19 20 21 21 Neurosurgery General Surgery including Bariatric Surgery Obstetrics & Gynecology General Surgery excluding Bariatric Surgery Orthopedic Surgery Cardiac Surgery Vascular Surgery Gynecology only Otolaryngology including otolaryngological cosmetic surgery Plastic & Reconstructive Surgery Colon & Rectal Surgery and or Proctology Urology including major surgery Emergency Medicine Computerized Tomography Diagnostic Radiology only Diagnostic Radiology and Radiation Oncology Family/General Practice with Limited Major Surgery and/or Anesthesiology Neurology and/or Psychiatry, including the supervision, direction or performance of myelography and/or angiography Obstetrics and Gynecology - Uncomplicated Obstetrics and Limited Surgery Otolaryngology excluding cosmetic surgery Obstetrics and Gynecology - Uncomplicated Obstetrics and Minor Surgery Internal Medicine with cardiac catheterization Family/General practice with Minor Surgery Gynecology only including Minor Surgery Otolaryngology with limited minor surgery (does not include tonsillectomy and adenoidectomy) Occupational medicine with Minor Surgery Neurology excluding the supervision, direction or performance of myelography and/or angiography Internal Medicine including cardiology, gastroenterology, rheumatology, tb/lung diseases, endocrinology and medical oncology excluding cardiac catheterization Dermatology including dermabrasion, hair transplants, micro/lipo injections, liposuction, face peels using Phenol, Mohs microsurgery and other procedures listed in class 22, Dermatology Urology including minor surgery Radiation Oncology only Ophthalmology including major surgery Anesthesiology Family/General Practice with no surgery Occupational Medicine excluding surgery Pathology and/or Hematology Ophthalmology with minor surgery Pediatrics excluding tonsillectomy and adenoidectomy, other major surgery or general/spinal anesthesia 22 23 Dermatology including use of laser, face peels with agents other than Phenol, collagen injections or sclerotherapy but excluding any other procedures listed in class 16, Dermatology Physical Medicine & Rehabilitation, including pain medicine Allergy including pediatric allergy Dermatology excluding all procedures listed in class16, Dermatology and class 22, Dermatology Ophthalmology excluding surgery Physical Medicine & Rehabilitation, excluding pain medicine Preventive Medicine Public Health Medicine Psychiatry excluding the supervision, direction or performance of myelography and/or angiography TERRITORY DEFINITIONS AS OF 07/01/2019 TERRITORY 01: NEW YORK, ORANGE, WESTCHESTER, ROCKLAND & SULLIVAN COUNTIES TERRITORY 02: KINGS & QUEEN COUNTIES TERRITORY 03: NASSAU & SUFFOLK COUNTIES TERRITORY 04: PUTNAM, DUTCHESS, COLUMBIA, GREENE & ULSTER COUNTIES TERRITORY 06: LIVINGSTONE, MONROE, ONTARIO, SENECA, WAYNE & YATES COUNTIES TERRITORY 07: BRONX & RICHMOND COUNTIES TERRITORY 00: REMAINDER OF STATE (ERIE & NIAGARA COUNTIES MERGED INTO 00 EFFECTIVE 7/1/2010) SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Filing Company: Product Name: 2019/2020 Rates Project Name/Number: / Company Tracking #: Academic Health Professionals Insurance Association Supporting Document Schedules Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Medical Malpractice Review Standards Checklist not applicable Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Explanatory Memorandum not applicable Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Rates and/or Rating Plans not applicable Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Minimum Premium/Return Premium and Minimum Earned Premium Rules not applicable Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Physician and Surgeon Merit Rating Plans not applicable Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Physician and Surgeon Risk Management Credits not applicable PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM SERFF Tracking #: ADIC-132023920 State Tracking #: R2019002635,R2019002635 State: New York TOI/Sub-TOI: 11.0 Med Mal-Claims Made and Occurrence/11.0023 Physicians & Surgeons Product Name: 2019/2020 Rates Project Name/Number: / Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Filing Company: Company Tracking #: Academic Health Professionals Insurance Association Consent-to-rate requirements not applicable PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/22/2019 09:28 AM ... Number ADIC-132023920 Generated 08/ 22 /2 019 09: 28 AM Attachments AHPIA 2 019- 2020 calculations.xls AHPIA Rates 2 019- 2020. xlsx AHPIA 2 019- 2020 class listing.pdf territory definitions 2 0192 020.pdf... On 08/ 01 /2 019 Date Submitted 08/ 01 /2 019 Responded By Beata Biernacka Created On 08/ 07 /2 019 PDF Pipeline for SERFF Tracking Number ADIC-132023920 Generated 08/ 22 /2 019 09: 28 AM Date Submitted 08/ 07 /2 019. .. Generated 08/ 22 /2 019 09: 28 AM Date Submitted 08/ 07 /2 019 By: Beata Biernacka SERFF Tracking #: ADIC-132023920 State Tracking #: R2 0190 02635,R2 0190 02635 State: New York TOI/Sub-TOI: 11.0 Med Mal- Claims
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