IN REVIEW

STRONG CORPORATE TIES TO TOP-RANKED INSURANCE AND REINSURANCE CARRIERSIn developing its products and managing its business, PRMS selects the best possible choice of a carrier to meet our clients’ needs. Thus, we further leverage the strong family of Alleghany companies including our program’s insurance carrier Fair American Insurance and Reinsurance Company (FAIRCO); and the Program’s reinsurer, Transatlantic Reinsurance Company (TRC), our sister company, which is considered to be the premier medical professional liability reinsurer in the world. FAIRCO, a U.S.-domiciled insurer, is rated ‘A’ (Excellent) by A.M. Best Company with a positive outlook and ‘A+’ by Standard & Poor’s with a stable outlook. TRC, also a U.S.-domiciled company, has been involved in all aspects of our program since 1991. TRC is rated ‘A’ (Excellent) by A.M. Best with a positive outlook and ‘A+’ by Standard & Poor’s with a stable outlook.

F I N A N C I A L S T R E N G T H A N D S TA B I L I T Y

PRMS offers unique benefits that extend well beyond its specialized expertise in psychiatry and reinforces the strength and stability of our business.

BROAD EXPERTISE IN SPECIALTY INSURANCE

Our parent company, CapSpecialty®, is a national leader in specialty insurance for small and medium-sized businesses. Through a shared services approach, PRMS has the resources and support of more than 200 insurance professionals and more than 90 years collectively of insurance marketplace experience.

THE BACKING OF A LEADING PUBLIC INSURANCE HOLDING COMPANYThrough CapSpecialty, we are an indirect, wholly-owned subsidiary of Alleghany Corporation, a U.S.-domiciled company (NYSE: ‘Y’) with approximately $22 billion in assets. As stated on its website, “Conservatism dominates our philosophy.” Alleghany, founded in 1929, is a Fortune 500 company that has been recognized as one of the Ward’s 50 Benchmark Group of top performing property-casualty insurance companies in the United States. The Ward Group selects 50 property-casualty companies from over a list of 3,000 that surpass their peers. Every insurer selected to represent Ward’s 50 must surpass a number of rigorous tests, which evaluate safety, consistency and performance measurements. Additionally, the group’s performance is compared to the industry as a whole.

IN REVIEW 4

UNPARALLELED EXPERTISEIN DEFENDING PSYCHIATRIC CLAIMSOur staff has a proven track record of providing exceptional service and expertise for more than 22,000 psychiatric-specific claims, lawsuits and significant events since 1986.

22,000+

15

We are proud of our hands-on, personalized service providing expertise, guidance, and support for psychiatrists during what is often a difficult and stressful time.

“

DAVID TORRANS IISENIOR LITIGATION SPECIALIST

DEFENSE

D

ED I C AT I O

N

PRMS

27YEARS

RISK COMPARISON:BOARD AND ADMINISTRATIVE COMPLAINTS FILED

VSLAWSUITS FILED

2 0 1 1 2 0 1 2 2 0 1 3 2 0 1 4

55%62% 60%

64%

45%38% 40% 36%

16IN REVIEW

In the midst of some nasty swamps you were a friendly solid refuge.

“- PRMS INSURED PSYCHIATRIST

C L A I M S E X P E R T I S E (CONT ’D)

CHRISTINE GRAY-KNIGHT, JD, CPCUSENIOR LITIGATION SPECIALIST

DEFENSE

D

ED I C AT I O

N

PRMS

10YEARS

The “cause of loss” represents the main allegation made in the claim or lawsuit. In almost all lawsuits multiple allegations of negligence are asserted. These data are collected based on the chief allegation or complaint. The category of “Performance Errors” captures any claim or lawsuit in which the general allegation is “incorrect treatment”. The “Diagnostic Errors” category used here encompasses failure to diagnose and incorrect diagnosis and the “Medication Related” category encompasses all types of drug/medication misadventures, including errors in prescribing, adverse reactions to medications,

mismanagement of patient’s medication regime, or other unanticipated outcomes related to medication use. The “Medication Related” category remains the number one identifiable cause of loss.

PERFORMANCE ERRORS

COMMUNICATION ERRORS

MEDICATION RELATEDDIAGNOSIS ERRORS 6% 18%

10 YEARBASED ON THE PSYCHIATRISTS’

PROGRAM 10-YEAR DATA

SUICIDE / ATTEMPTEDSUICIDE 16%

5%

50%

OTHERForensic, Libel/Slander, Undue Familiarity, Vicarious Liability “PC”, Boundary Violation, Breach of Confidentiality, Abandonment, Lack of Informed Consent

5%

PERFORMANCE ERRORS

COMMUNICATION ERRORS

MEDICATION RELATEDDIAGNOSIS ERRORS 1% 27%

1 YEARBASED ON THE PSYCHIATRISTS’ PROGRAM DATA FOR THE PERIOD

2014

SUICIDE / ATTEMPTEDSUICIDE

17%

5%

44%

OTHERForensic, Libel/Slander, Undue Familiarity, Vicarious Liability “PC”, Boundary Violation, Breach of Confidentiality, Abandonment, Lack of Informed Consent

6%

17

C L A I M S E X P E R T I S E (CONT ’D)CAUSE OF LOSS - ALL STATES

MORE THAN ANINSURANCEPOLICY

CONTACT US(800) 245-3333TheProgram@prms.comPsychProgram.com

1401 Wilson Boulevard, Suite 700Arlington, VA 22209-2402