Frequently Asked Question:

What is tail coverage and do I need it?

Insurance Type
Related Industries
Healthcare Services
Related Coverages
Medical Malpractice

The Short Answer

Tail coverage, or an extended reporting endorsement, lets a claims-made policy keep responding to claims filed after the policy ends. You need it when you leave a claims-made policy without prior acts coverage from the next carrier.

The Full Answer

Malpractice claims often surface long after treatment. If you’re on a claims-made policy and you retire, change employers or switch carriers, any claim filed after that date has no coverage unless you have a tail.

Tail is a one-time purchase and is often priced as a multiple of your last annual premium. Some carriers waive it at retirement, death or disability. Before you sign an employment contract, find out who pays for tail when you leave. It’s one of the most negotiated terms in physician contracts.

The alternative is prior acts (nose) coverage, where your new carrier accepts your old retroactive date.

Related Questions

If you’re covered under an employer’s policy, you may not need one. Many NPs and PAs buy an individual policy anyway for coverage outside work and protection the employer’s policy doesn’t give.

Only a few states require it by statute. In practice, nearly every hospital, health system and many payers require it before you can work or bill.

Usually, while you’re employed there and acting within your job duties. It typically does not cover moonlighting, volunteer work, or claims filed after you leave.

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