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Medical Group Playbook • Separate Entity Limit, Locum Tenens & Nose Coverage2026 Clause Template • 100% AnonymousClause Danger Score: 90/100Typical Exposure: $500,000 – $1,000,000 in shared entity limit exhaustion

Medical Group "Slot Coverage," Locum Tenens & Corporate Entity Shared-Limit Audit

When a multi-physician medical group or dental practice buys a group malpractice policy, carriers frequently put the Corporate Entity (the LLC/PC) on a "Shared Limit" with the individual doctors rather than giving the Entity its own Separate $1,000,000 / $3,000,000 Limit. That means if a plaintiff sues both Dr. Smith and the Practice LLC in the same lawsuit, they must split a single $1,000,000 limit ($500k each)—cutting protection in half! Additionally, hiring temporary Locum Tenens doctors or onboarding new physicians under "Slot Coverage" without Prior-Acts ("Nose") endorsements creates silent uninsured gaps.

Real-World Financial Loss Case Study & PreventionDocumented Loss: $195,000 uncovered prior-acts claim & defense co-insurance haircut

Surgical Practice Hit With $195,000 Uninsured Prior-Acts Gap & 80/20 Hammer Penalty After Switching Malpractice Carriers

What Went Wrong (Unredlined Draft)

When a surgical practice switched malpractice carriers to save 12% on premium, the new binder silently set the Claims-Made Retroactive Date to the new policy inception date and included an 80/20 Hammer Clause—leaving a claim from a procedure 14 months earlier 100% uninsured.

How EndorseIQ™ Prevents It Automatically

EndorseIQ™ verifies Item 4 of the Declarations matches the original career Prior Acts Date, replaces 80/20 Hammer Clauses with Pure Written Consent to Settle, and caps Unlimited ERP Tail at <=150%.

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Fixing one clause alone often fails when a buried definition, exhibit, or survival clause elsewhere in your Medical & Professional Malpractice neutralizes your protection. Drop your PDF or Word (.docx) below for an instant, 100% anonymous cross-section audit.

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Free 2026 Copy-Paste Clause Template (First 60% Unlocked • Cross-Section Carve-Out Gated)
“SHARED CORPORATE ENTITY LIMIT & LOCUM TENENS 30-DAY CAP: The Organization / Professional Corporation Named Insured shares in the Per-Claim Limit of Liability ($1,000,000) of the individual Insured Physician; inclusion of the Organization does not increase the Company’s $1,000,000 maximum liability for any single Medical Incident. Locum Tenens coverage is limited to 30 days per policy year.”

“SEPARATE CORPORATE ENTITY LIMIT ($1M/$3M), 90-DAY AUTOMATIC LOCUM TENENS & PRIOR-ACTS NOSE CONTINUITY: (a) The Practice Entity (PC/LLC) is provided a Separate, Dedicated $1,000,000 / $3,000,000 Limit of Liability in addition to each scheduled Physician’s individual $1,000,000 / $3,000,000 tower; (b) Automatic Locum

Counterparties override this cap in 3 other sections. Scan your full PDF free (60s) to unlock cross-section protection.
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What to Say to the Malpractice Carrier & Employer / Hospital Group

"In any serious malpractice lawsuit, the plaintiff names both the treating physician and the Practice LLC as separate defendants. If the Entity shares the physician’s $1M limit, a $1.6M verdict leaves a $600k uninsured gap. We need either a Separate $1M/$3M Entity Limit or a $2M/$4M group excess layer, plus 90-day Automatic Locum Tenens coverage."

Why they drafted it this way: By putting the medical group LLC on a Shared Limit with the treating doctor, the carrier caps its total payout on a catastrophic surgical claim at $1,000,000 even when both the doctor and the clinic are found liable.

Mandatory Audit Checklist Points

  • Audit whether the Practice Entity (LLC/PC) has a Separate $1M/$3M Limit vs. a Shared Limit with the physicians
  • Verify Automatic Locum Tenens coverage allows temporary substitute doctors for up to 60–90 days per year
  • Confirm newly hired physicians receive "Nose Coverage" (Prior Acts Retroactive Date) or verified outgoing ERP Tail
  • Check that departed physicians remain covered on the group policy for their historical treatments ("Automatic Former Insureds")
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Frequently Asked Questions

What is the difference between a Shared Entity Limit and a Separate Entity Limit on a group malpractice policy?

Under a Shared Entity Limit, if a patient sues Dr. Jones and ABC Medical Group LLC for the same surgery, the total combined payout for both defendants is capped at $1,000,000. Under a Separate Entity Limit, Dr. Jones has a $1,000,000 limit and ABC Medical Group LLC has its own separate $1,000,000 limit ($2,000,000 total available for the lawsuit).

What happens to a departed physician’s prior patients on a "Slot Policy" or group policy?

If a group policy covers "Historic / Former Insureds" automatically as long as the group policy remains active, the departed doctor’s past treatments at that clinic stay covered without buying a separate tail—UNLESS the group later switches carriers and drops prior acts for former employees.

How do I redline medical group shared entity limit locum tenens nose coverage malpractice audit traps in my Medical & Professional Malpractice anonymously without creating an account?

Upload your Medical & Professional Malpractice PDF or Word (.docx) draft to ExclusionRadar.com to run the "Medical Group "Slot Coverage," Locum Tenens & Corporate Entity Shared-Limit Audit" defense cartridge 100% anonymously—with zero account registration, zero email login, and stateless in-memory processing. EndorseIQ™ flags medical group shared entity limit locum tenens nose coverage malpractice audit exposure (typically $500,000 – $1,000,000 in shared entity limit exhaustion; documented unredlined loss: $195,000 uncovered prior-acts claim & defense co-insurance haircut), checks for cross-section overrides, and exports a ready-to-send Microsoft Word (.docx) Track-Changes file.

More Medical & Professional Malpractice Redline Playbooks

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Danger Score: 93/100

Dental & Oral Surgery Malpractice Audit: IV Sedation, General Anesthesia & Cosmetic Veneer Exclusions

Dentists, periodontists, and oral surgeons purchasing professional liability insurance often get bound under a "Class I (Local Anesthesia / Nitrous Oxide Only)" rating classification even when their practice performs oral conscious sedation, IV moderate/deep sedation, complex zygomatic/pterygoid implants, or facial aesthetic injectables (Botox/TMJ). If an airway complication or inferior alveolar nerve injury occurs during a procedure involving unscheduled IV or conscious sedation—or if a State Dental Board complaint is filed—the carrier invokes the "Anesthesia / Sedation Class Exclusion" to deny coverage completely.

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Danger Score: 92/100

Lawyers Professional Liability (LPL) Audit: "Fee Suit" Counterclaim Traps, Equity Stakes & Prior Acts

Law firms, CPAs, and management consultancies face three major traps in Professional Liability (LPL / E&O) binders: (1) an "Outside Business Interest / Client Equity Exclusion" that voids 100% of malpractice coverage if the firm or any partner owns as little as 5%–10% equity in the client or serves on the client’s board or as corporate secretary; (2) a "Lateral Hire / Of-Counsel Retroactive Date Restriction" that limits a newly hired attorney’s coverage strictly to work done AT your firm (which is fine), unless a "Predecessor Firm" definition error accidentally excludes your own firm’s historical merger; and (3) a "Punitive Fee-Suit Counterclaim Deductible" that doubles or quadruples your deductible if a client files a malpractice counterclaim after you sue them for unpaid legal bills.

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Danger Score: 91/100

Allied Health, Physical Therapy & Home Health Malpractice Audit: Hired/Non-Owned Auto & Abuse Sub-Limits

Home health agencies, physical therapy clinics, behavioral health groups, and medical staffing firms face two devastating coverage gaps: (1) when a separate company buys Commercial General Liability from Carrier A and Professional Malpractice from Carrier B, a patient fall from an exam table or wheelchair triggers a "Finger-Pointing Denial"—the GL carrier denies it as a "Professional Healthcare Service Exclusion (ISO CG 21 16)" while the Malpractice carrier denies it as a "Premises Slip-and-Fall"! And (2) when nurses, therapists, or aides drive their personal cars between patient homes or to run clinic errands, a serious auto accident sues the agency—which is 100% excluded under both GL and Malpractice unless a $1,000,000 Hired and Non-Owned Auto (HNOA) endorsement is bound.

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Danger Score: 98/100

Physician Claims-Made Retroactive Date & 80/20 Hammer Clause Audit: Protecting Prior Acts & NPDB Records

Every medical malpractice settlement paid on behalf of a physician—even a $15,000 nuisance payout—must be permanently reported to the federal National Practitioner Data Bank (NPDB) and state medical boards. Yet many Claims-Made malpractice binders replace "Pure Consent to Settle" with an 80/20 or 100% Hammer Clause: if you refuse to let the insurer settle a defensible claim to protect your NPDB record, you become personally liable for 80%–100% of all subsequent legal fees and excess verdicts. Worse, when changing carriers or medical groups, a Declarations page that sets the "Retroactive Date" to Policy Inception instead of your career Prior Acts Date wipes out coverage for every patient you treated in prior years.

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