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MEDICORUM | wealth management
  • HOME
  • PRACTICE
  • PHYSICIANS
  • RISK MANAGEMENT
  • TAX PLANNING
  • ESTATE PLANNING
  • INVESTMENT PLANNING
  • COMPLIANCE
  • ABOUT
  • CONTACT

INDIVIDUAL PHYSICIANS

Protecting the Practitioner: Insuring Your Career, Your Assets, and Your Peace of Mind


While a medical practice operates as a business entity, its success and its risks are intrinsically tied to the individual physicians who own and lead it. As high-net-worth professionals in a litigious field, physicians are frequent targets of legal and regulatory actions.16 The corporate veil of the practice offers a degree of protection, but significant personal financial and career risks remain.


A micro-captive insurance company, when properly structured, serves as a powerful shield for the individual physician-owner. It moves beyond protecting the enterprise to insuring the practitioner's personal assets, professional standing, and long-term ability to earn an income. For an individual physician, the greatest uninsurable risk is often not a single malpractice judgment, but the devastating financial and professional consequences that arise during the process of defending against claims, audits, and inquiries, even when no fault is ultimately found. A captive is uniquely capable of insuring the financial impact of these processes. 

Reinforcing Your Malpractice Defense

 Funding High Malpractice Deductibles


  • To manage the high cost of malpractice insurance, physicians often carry substantial personal deductibles. 
  • A captive allows the practice to formally insure this deductible amount. 
  • The practice pays a tax-deductible premium to the captive, which then holds the funds to reimburse the physician for any out-of-pocket deductible payment. 
  • This converts a potentially catastrophic personal expense into a planned, tax-advantaged business cost. 

 Providing Excess Liability Coverage


  • In the event of a judgment that exceeds the limits of a commercial malpractice policy, a physician's personal assets are at risk. 
  • A captive can be structured to provide a significant layer of excess liability coverage, acting as a financial firewall that protects personal wealth from professional liability. 

  Controlling Legal Defense


  • Commercial insurance policies can sometimes contain clauses that limit a physician's control over their own legal defense or may compel a settlement against the physician's wishes. 
  • A captive policy can be written to cover legal defense costs that are excluded or limited by the primary policy, giving the physician greater autonomy and resources to mount a vigorous defense. 

   Loss of License Insurance


  • A state medical board inquiry or other regulatory action can lead to the suspension or revocation of a physician's license to practice. 
  • This is a catastrophic career event with devastating financial consequences. 
  • A captive can issue a policy that provides income replacement for a defined period if a physician's license is involuntarily suspended, offering a financial bridge during a challenging time. 

  Reputational Damage Insurance


  • A physician's reputation is paramount to their ability to attract and retain patients. 
  • A malpractice lawsuit (even one that is ultimately won), a negative media story, or a viral social media campaign can cause severe and lasting damage to a physician's practice and income. 
  • A captive can write a policy that covers the quantifiable loss of personal income resulting from a specific, documented reputational event. 

  Administrative Actions Liability


  • Physicians can be held personally liable for fines and penalties arising from administrative or regulatory actions, such as those related to HIPAA or billing compliance. 
  • A captive policy can be designed to cover these personal financial penalties, which are typically not covered by the practice's general liability or malpractice insurance. 


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