MEDICAL PROFESSIONAL LIABILITY

Transcription

1 American Conference Institute s National Advanced Forum on Earn CLE Credits Earn CPE Credits MEDICAL PROFESSIONAL LIABILITY October 30 31, 2014 The Carlton Hotel New York, NY Inquire about special rates for groups, government, academia, insurers, brokers & risk managers Featured speakers include: James Mills Oklahoma Insurance Dept. Martin J. Hazen Kansas Insurance Dept. Cheryl M. De Kleine John B. Graham Zurich North America Molly L. Farrell MGIS Pamela S. Schremp Richard A. Farlow BerkleyMed Jennifer Green Fireman s Fund Insurance Company Theresa F. Boland Montefiore Medical Center Luke Sato CRICO Margaret Douglass Premier, Inc. Tatum O Sullivan North Shore Physicians Group Richard T. Henderson Transatlantic Re John E. Telenko Allied World Assurance Lesli Giglio St. Francis Hospital Jefferi Joan Hamilton Sessions include: MPL Insurance Roundtable: Insurance Carriers, Brokers, Counsel and Claims Professionals Speak Out on Top Claims Trends, the Latest Issues Affecting the MPL Industry, Potential Impact of the ACA, Identifying and Mitigating Risks, Controlling Costs and What s on the Horizon for the MPL Marketplace Affordable Care Act Considerations and Implications: Preparing for Change and Getting Ahead of the Curve Electronic Medical Records, Patient Portals and Audit Trails: The Benefits and Risks of a Paperless System, and Overcoming the Challenges of Implementing an Electronic Platform The Latest Cyber and Privacy Threats Being Faced by the Medical Community An Update on Risk Management Practices for Health Care Providers and Developments in Cyber/Privacy Insurance for Medical Professionals Expert Insights on Effective and Successful Integration of Hospitals and Physician Practices Is a Risk Retention Group Right for Your Medical Malpractice Insurance Needs?: Assessing the Benefits of RRGs and Other Alternative Risk Financing and Transfer Vehicles Medicare Reform Efforts Keeping Them All Straight: Examining the Status of Currently Pending Medicare Reforms and Initiatives, and Catching Up With Section 111 Electronic Reporting New Healthcare Delivery Models Will They Work or Will they Produce More Liability?; The Latest on SurgiCenters, UrgiCenters and Ambulatory Liability Protecting Yourself from Malpractice Claims Arising From Nursing/Clinical Chain of Command Issues New Claims Trends Related to the U.S. Pain Crisis: Taking a Look at the Recent Prescription Drug Abuse Epidemic and Its Potential Impact on the Tide of Med Mal Insurance Claims Medical Liability Reform: Where Are We Now and Where Are We Going? Minimizing Exposure to Medical Malpractice Litigation: Implementing Preventative Measures, Reducing Risk and Avoiding and Managing Catastrophic and Mass Tort Claims Litigation and Trial Techniques for Every Stage of a Medical Malpractice Case Distinguished Chairs: John S. Moore Director Specialty Strategic Claims Jennifer Green Claims Specialist Professional Liability Claims Fireman s Fund Insurance Company.as well as: John S. Moore Greg Radinsky North Shore LIJ Christine S. Vaglienti WV United Health System Michael Wong PPAHS Catherine Walberg Physicians Insurance Courtney Koch ACE Group Caren-Elise De Luca CRICO John M. Murphy Arnot Medical Services Julianne M. Morath Hospital Quality Institute Steven M. Carpenter Professional Liability Fund Sean Farrelly Odyssey Re Kenneth Appleby The Doctors Company Rafael Gonzalez Gould & Lamb LLC John M. Foley Markel Michael Anderson MIEC Stephanie A. Sheps Register Now AmericanConference.com/MedProfLiab Register Now AmericanConference.com/MedProfLiab 1

2 Here s just some of the companies and firms already booked on to attend: Oklahoma Insurance Department Kansas Insurance Department Zurich North America MGIS Underwriting Managers BerkleyMed Integro Insurance Brokers Montefiore Medical Center CRICO Premier Insurance Management Services North Shore Physicians Group Transatlantic Re Allied World Assurance Company North Shore - LIJ Health System St. Francis Hospital Gould & Lamb LLC West Virginia United Health System Odyssey Re Business Health Resources, Inc. Physician-Patient Alliance for Health & Safety Physicians Insurance A Mutual Company ACE Group Arnot Medical Services Hospital Quality Institute Professional Liability Fund Markel Medical Insurance Exchange of California Fireman s Fund Insurance Company Professional Risk Associates BerkleyNet The Graham Company ESIS ProClaim Stewart Bernstiel Rebar & Smith DeCorato Cohen Sheehan & Federico, LLP Wilson Elser Moskowitz Edelman & Dicker LLP Greensfelder, Hemker & Gale, P.C. Shook, Hardy & Bacon LLP Swift, Currie, McGhee & Hiers, LLP Tucker Ellis LLP Poling Law Kaufman Borgeest & Ryan LLP Troutman Sanders LLP Hall Booth Smith, P.C. Lewis Brisbois Bisgaard & Smith LLP Carlock, Copeland & Stair Heidell, Pittoni, Murphy & Bach, LLP Freeman Mathis & Gary, LLP Clifford Law Offices Gabriele & Marano, LLP The Doctors Company ACI s Medical Professional Liability Insurance forum is the premier event on benchmarking coverage, underwriting, and claims strategies. No other event can match the practical and detailed analysis of the entire MPL Insurance landscape, including the impact of litigation, regulatory action, and market conditions in today s tumultuous environment. ATTENTION MEDICAL PROFESSIONAL LIABILITY INSURANCE PROFESSIONALS: Healthcare providers are facing rising med mal exposures given the recent increase in healthcare utilization under Obamacare, changing trends in hiring and employment patterns and healthcare delivery models, increased use of electronic platforms and portals, decreasing reimbursements and greater regulatory scrutiny. As such, on a variety of fronts, insurance professionals and policyholders are looking for answers on assessing and mitigating risk, managing litigation, defending claims and altering underwriting processes to address the changing medical professional liability landscape. That is why you cannot afford to miss American Conference Institute s National Advanced Forum on Medical Professional Liability. In addition to unparalleled networking opportunities, this conference will provide attendees with the latest insights and expert advice from our exceptional faculty on: Top claims trends and the latest issues affecting the MPL industry Affordable Care Act considerations and implications: preparing for change and getting ahead of the curve Electronic medical records, patient portals and audit trails: the benefits and risks of a paperless system, and overcoming the challenges of implementing an electronic platform The latest cyber and privacy threats being faced by the medical community an update on risk management practices for health care providers and developments in cyber/privacy insurance for medical professionals Expert insights on effective and successful integration of hospitals and physician practices Is a Risk Retention Group right for your medical malpractice insurance needs?: Assessing the benefits of RRGs and other alternative risk financing and transfer vehicles Medicare reform efforts keeping them all straight: examining the status of currently pending Medicare reforms and initiatives, and catching up with Section 111 electronic reporting New healthcare delivery models will they work or will they produce more liability?; The latest on SurgiCenters, UrgiCenters and ambulatory liability Protecting yourself from malpractice claims arising from nursing/clinical chain of command issues New claims trends related to the U.S. pain crisis: taking a look at the recent prescription drug abuse epidemic and its potential impact on the tide of med mal insurance claims Medical liability reform: where are we now and where are we going? Minimizing exposure to medical malpractice litigation: implementing preventative measures, reducing risk and avoiding and managing catastrophic and mass tort claims Litigation and trial techniques for every stage of a medical malpractice case This event will fill up quickly, so register now by calling , faxing your registration form to , or registering online at 2 Join the Conversation / #ACIInsurance

3 DAY ONE Thursday, October 30, :50 Registration 12:05 Chairs Welcome John S. Moore Director Specialty Strategic Claims Jennifer Green Claims Specialist Professional Liability Claims Fireman s Fund Insurance Company 12:05 MPL Insurance Roundtable: Insurance Carriers, Brokers, Counsel and Claims Professionals Speak Out on Top Claims Trends, the Latest Issues Affecting the MPL Industry, Potential Impact of the ACA, Identifying and Mitigating Risks, Controlling Costs and What s on the Horizon for the MPL Marketplace Cheryl M. De Kleine Director Richard T. Henderson, CPCU, AIC, ARM, AU Vice President Transatlantic Re John E. Telenko, RPLU Senior Vice President, Healthcare Allied World Assurance Company (U.S.), Inc. Sean Farrelly Senior Underwriting Associate Odyssey Re Jefferi Joan Hamilton Attorney Courtney Koch Senior Claims Director ACE North American Claims-Medical Risk Christopher Keith Vice President Healthcare Division The Graham Company Caren-Elise De Luca Senior Underwriter/Team Lead CRICO Moderator: Lori Semlies Wilson Elser Moskowitz Edelman & Dicker LLP Update on top medical malpractice claims trends Industry examination of latest issues affecting the MPL marketplace o Increase in healthcare utilization due to retirement of baby boomers and recent health care reform o Implementation of electronic health records: benefits, risks, potential impact on med mal claims and premiums, and best practices for implementation and conversion of records o Impacts and implications of new trends in medical outsourcing/medical tourism, telemedicine, regional health information exchanges, hospitalists and more o Increased integration of hospitals and physician practices: What are the conflict and resolution issues? What are the exposure and coverage implications? What are the litigation implications? o The latest merger and acquisition issues mergers of smaller practices into single specialty large group medical practices and multispecialty physician groups addressing the issue of unifying coverage for all members of the group under one company Potential implications of the Affordable Care Act (ACA) Recent trends and future projections for claims severity and frequency Update on newly evolving risks/exposures in the healthcare landscape; and tips and strategies for mitigating such risks How are underwriters and brokers approaching the market? What specific drivers underlie the purchase of MPL insurance from the clients perspective? New and cutting edge coverage; and the latest trends in cyber liability insurance How is defending MPL claims going to change with the globalization of the medical industry and advancements in technology and electronic platforms? Avoiding law suits by minimizing claims Early resolution strategies Negotiating settlements with multiple defendants and claims Best practices for controlling the cost of the defense of claims 1:15 Affordable Care Act Considerations and Implications: Preparing for Change and Getting Ahead of the Curve Martin J. Hazen Commercial Lines Manager Property & Casualty Division Kansas Insurance Department Molly L. Farrell Vice President, Operations MGIS Underwriting Managers, Inc. Angela Henderson Claims Manager BerkleyNet John E. Hall Hall Booth Smith, P.C. Brant Poling Poling Law Assessing the short and longer-term impacts of the ACA on medical professional liability trends over the next few years and beyond What types of MPL claims can we expect to see arising from the ACA over the next 5 years Register Now AmericanConference.com/MedProfLiab 3

4 Implications of increasing healthcare utilization and the accelerated use of mid-level service providers (PAs, NPs), urgent care and outpatient facilities and telemedicine to cope with the overflow Implications of ACA incentives to computerize medical records Cost control pressures spurring more providers to consolidate; and new risk exposures associated with rising hospital acquisitions of physicians groups Impact of PCORI (Patient Centered Outcomes Research Institute) on MPL insurance costs Federal funding for state tort reform alternatives effects on MPL insurance costs Projected impact of healthcare reform on ACOs/RCOs Effect of ACA on life care plans and future damages for seriously injured and disabled plaintiffs (e.g. birth injury cases) Impact of ACA on claims frequency and severity trends The effect of Obamacare on catastrophic damages Actuarial considerations Where do we go from here? Strategies for how to best prepare for imminent changes 2:20 Afternoon Break 2:25 Electronic Medical Records, Patient Portals and Audit Trails: The Benefits and Risks of a Paperless System, and Overcoming the Challenges of Implementing an Electronic Platform Christine S. Vaglienti Associate Litigation Counsel West Virginia United Health System, Inc. Stephanie A. Sheps Director, Claims Joshua R. Cohen DeCorato Cohen Sheehan & Federico, LLP Eric Frisch Carlock, Copeland & Stair Guido Gabriele III Gabriele & Marano, LLP Assessing the benefits and risks of utilizing electronic health records and patient portals Overcoming the inherent challenges of integrating the electronic health record (EHR) into medical practices The increased medical malpractice risks associated with Health Information Exchanges Recent rise in e-prescribing: benefits and associated exposure risks; best practices for mitigating such risks Risks associated with electronic drug-drug interaction lists and alert fatigue What does the recent Model Policy released by the Federation of State Medical Boards say regarding such electronic/virtual practices Providing assurance of the integrity of the electronic record and the associated raw data How to train users and the risks involved Cloning records and the retroactive manipulation of electronic records Implementing enhanced documentation tools to capture relevant information in the electronic record 3:30 The Latest Cyber and Privacy Threats Being Faced by the Medical Community An Update on Risk Management Practices for Health Care Providers and Developments in Cyber/Privacy Insurance for Medical Professionals Kenneth Appleby Director Northeast Region Underwriting The Doctors Company John B. Graham Security & Privacy Liability Product Manager Product Underwriting Zurich North America Greg Radinsky Vice President & Chief Corporate Compliance Officer North Shore LIJ Health System Charles A. Jones Troutman Sanders LLP Michael P. Bruyere Freeman Mathis & Gary, LLP Update on the alarming trend of frequent and large-scale health care records breaches Assessing the risks associated with: o Simple negligence o Rogue employees o Not encrypting sensitive data o Increased use of electronic databases that store vast amounts of information o Outsourcing information technology Examining the latest developments in cyber/privacy insurance coverage knowing what types of coverage are available, and assessing what you might need and when o Data compromise protection o Third-party liability coverage o Network asset protection o Cyber extortion coverage o Multimedia insurance Risk management practices for healthcare providers to protect against privacy and data security exposures 4:30 Expert Insights on Effective and Successful Integration of Hospitals and Physician Practices Luke Sato, MD Senior Vice President & Chief Medical Officer CRICO Assistant Clinical Professor of Medicine Harvard Medical School Margaret Douglass, RN, MPH, FASHRM, CPHRM Assistant Vice President, Risk Management Premier Insurance Management Services, Inc. Premier, Inc. John M. Murphy, MD, MBA, CPE President and Chief Executive Arnot Medical Services Michael Anderson Senior Claims Representative Medical Insurance Exchange of California 4 Join the Conversation / #ACIInsurance

5 Steve Fargis Senior Vice President Professional Risk Associates Examining the implications and emerging exposures associated with the rise in physicians groups being purchased by hospitals around the country What are the challenges associated with integrating physicians from private practice to hospital employment? What are the associated exposures? What are the litigation implications? Best practices for effectively managing and coordinating these new blended organizational structures so as to minimize risk/ exposure to liability Addressing the issue of how to provide newly entering physicians with liability coverage The latest tail coverage practices and strategies being utilized in the health care industry 5:45 Is a Risk Retention Group Right for Your Medical Malpractice Insurance Needs?: Assessing the Benefits of RRGs and Other Alternative Risk Financing and Transfer Vehicles James Mills Director of Workers Comp and Captive Insurance Assistant General Counsel Oklahoma Insurance Department William McDonough Managing Principal Integro Insurance Brokers Examining the benefits and advantages of turning to RRGs as an alternative to traditional insurance companies What are the drawbacks? Determining what is right for your practice Corporate governance and oversight of RRGs Assessing the benefits of other alternative risk financing vehicles The advantages of using a captive for medical malpractice alternative risk transfer Understanding the different types of captives and when and how they should be used 6:30 Conference Adjourns DAY TWO Friday, October 31, :30 Continental Breakfast 8:00 New Healthcare Delivery Models Will They Work or Will they Produce More Liability?; The Latest on SurgiCenters, UrgiCenters and Ambulatory Liability John S. Moore Director Specialty Strategic Claims Tatum O Sullivan, RN, MHSA, CPHRM Ambulatory Risk & Patient Safety Manager North Shore Physicians Group Arlene Guzik, DNP, ARNP-BC, COHN-S, FAAOHN President/Owner Business Health Resources, Inc. Assistant Medical Director and Vice President of Operations Lakeside Occupational Medical Centers Ryan J. Gavin Greensfelder, Hemker & Gale, P.C. The latest trends in ambulatory care, and the recent shift from in-patient liability to outpatient (ambulatory) liability The complex environment of ambulatory care and the unique malpractice risks/exposures associated with ambulatory surgery centers Tips and best practices for improving ambulatory patient safety Ambulatory care considerations relating to: o Medication safety o Diagnostic errors o Office-based surgery o Anesthesia o The patient role in care o Communication safety The latest trends in malpractice insurance for ambulatory surgical centers and urgent care centers 9:00 Protecting Yourself from Malpractice Claims Arising From Nursing/Clinical Chain of Command Issues Theresa F. Boland, DHEd, RN Risk & Claims Manager Montefiore Medical Center Pamela S. Schremp Senior Litigation Attorney Grena Porto, RN, MS, ARM, CPHRM Vice President ESIS ProClaim Julianne M. Morath, RN, MS President/CEO Hospital Quality Institute Identifying and minimizing exposures associated with: o Poor communication between a nurse and physician, a nurse and other healthcare providers, or a nurse and her patient o Failures in documenting and poor charting o Failures in assessing and monitoring (and in determining the frequency of patient assessment and monitoring) Identifying and minimizing exposures associated with a nurse s failure to act as a patient advocate; avoiding malpractice claims based on a nurse s failure to challenge a physician s order Ensuring that nurses/clinicians are informed and trained regarding their appropriate chain of command within the facility s nursing hierarchy Overcoming the challenges of physician intimidation and unsupportive management How delegation can lead to malpractice claims What are the risks associated with mandatory delegation of certain tasks from registered nurses (RNs) to licensed practical nurses (LPNs), licensed vocational nurses (LVNs), or unlicensed assistive personnel (UAP)? Avoiding the potential legal jeopardy that can result from improper delegation; taking the correct and necessary steps to ensure compliance with governing rules for task delegation Register Now AmericanConference.com/MedProfLiab 5

6 10:00 Morning Coffee Break 10:10 New Claims Trends Related to the U.S. Pain Crisis: Taking a Look at the Recent Prescription Drug Abuse Epidemic and Its Potential Impact on the Tide of Med Mal Insurance Claims John M. Foley Manager, Claims Markel Cathleen Kelly Rebar Stewart Bernstiel Rebar & Smith Victoria L. Vance Tucker Ellis LLP Recent trends in MPL claims resulting from large-scale prescription drug abuse Associated risks of prescription opioid use by elderly patients Issues with opioid prescribing by multiple providers in Medicare and its impact on insurance claims Correlation between large-scale prescription pain drug use and other related medical conditions; impact on claim trends Children born to addicted mothers suing later for related conditions Claims based on failure to properly screen for drug seeking behavior (not just against PCPs but OBGYNs and other service providers) Legalization of Medical Marijuana issues Claims trends and exposure risks associated with addiction treatment facilities 11:05 Medical Liability Reform: Where Are We Now and Where Are We Going? Mark A. Behrens Shook, Hardy & Bacon LLP Kirsten K. Ullman Lewis Brisbois Bisgaard & Smith LLP Robert Clifford Clifford Law Offices Examining the latest legislative strides towards medical liability reform on the state and federal levels Recent trends in alternative approaches aimed at reforming medical liability Judicial hellholes spurring costly trend toward giant-sized medical liability awards Where are we now and what is on the horizon for: o Caps on noneconomic damages o Alternatives to civil litigation, such as health courts and disclosure-and-compensation offers o Protections for physicians volunteering services in an emergency situation o Shields for physicians who follow established, evidence-based guidelines of care o Collateral source offsets that prevent duplicate payments o Fair share rule o Periodic payment of future damage awards totaling more than $50,000 o Limits on plaintiff attorney contingency fees o Application of punitive damages only when the evidence indicates that the defendant intended to harm the claimant 12:00 Networking Lunch For Speakers and Delegates 1:00 Medicare Reform Efforts Keeping Them All Straight: Examining the Status of Currently Pending Medicare Reforms and Initiatives, and Catching Up With Section 111 Electronic Reporting Rafael Gonzalez Director of Medicare and Medicaid Compliance & Post Settlement Administration Gould & Lamb LLC Status update on the latest Medicare reform efforts Taking a look at Medicare s delivery system reform initiatives Latest CMS findings regarding Medicare ACO initiatives, Pioneer ACOs, the Physician Group Practice Demonstration initiative and participation in the Medicare Bundled Payments for Care Improvement ( Bundled Payment ) initiative Issues related to ACO versus Bundled Payment Examining the four Bundled Payment reimbursement models developed by CMS from which interested provider groups may select The latest on CMS Medicare reimbursement mechanisms CMS proposed Medicare hospice payment polices for fiscal 2015 CMS final rule regarding physicians who prescribe drugs through Medicare Part D effective June 2015 Guidelines of when to take Medicare s future interest into account Catching up with the MSP and GHP reporting requirements mandated by Section 111 1:20 Minimizing Exposure to Medical Malpractice Litigation: Implementing Preventative Measures, Reducing Risk and Avoiding and Managing Catastrophic and Mass Tort Claims Lesli Giglio RN, MPA, CPHRM Director; Regulatory Affairs/Risk Management Patient Safety Officer; Privacy Officer St. Francis Hospital Michael Wong, JD Founder/Executive Director Physician-Patient Alliance for Health & Safety Jennifer Green Claims Specialist Professional Liability Claims Fireman s Fund Insurance Company Catherine Walberg Senior Vice President Physicians Insurance A Mutual Company Roger E. Harris Swift, Currie, McGhee & Hiers, LLP Identifying key drivers of risk Enhancing incident management practices Utilizing a systemic approach to process improvement Developing protocols to enable calm and coordinated team responses in critical situations and reinforce the use of safe practices 6 Join the Conversation / #ACIInsurance

7 Developing a culture of safety Initiating timely communication with patients and families following an adverse incident Implementing a joint professional liability program Achieving measurable results Tips, strategies and best practices for preventing, spotting and stopping catastrophic claims, and for avoiding and managing mass tort cases 2:40 Litigation and Trial Techniques for Every Stage of a Medical Malpractice Case Steven M. Carpenter Claims Attorney Professional Liability Fund Richard A. Farlow Assistant Vice President BerkleyMed Robert B. Gibson Heidell, Pittoni, Murphy & Bach, LLP Andrew S. Kaufman Kaufman Borgeest & Ryan LLP Investigating the facts concerning liability, causation and damages what is relevant? Formulating a document and e-discovery plan that defends against overly aggressive requests while ensuring compliance Developing cost-effective, compliant and practical e-discovery and document retention policies and procedures The scope of information that defendant hospitals and medical professionals must turn over to plaintiffs attorneys E-discovery as it applies to communication with patients through and texting; databases; medical records Use of social media as it relates to litigation What s discoverable? What do you have to disclose? Ensuring preservation of relevant documents how long must information be preserved? Confidentiality and privacy issues that arise with patient information Using metadata to establish relevant dates and times Ensuring that litigation is not driven by the cost of discovery Ensuring that your client is prepared for trial Trial briefs and motions in limine Jury selection Effective use of exhibits and standard-of-care experts Using demonstrative evidence and themes Counteracting the Reptile Theory Making the case for or against damages o What types of damages and how much? o Damages experts Settlement considerations strategies for success 4:15 Conference Ends Global Sponsorship Opportunities With more than 300 conferences in the United States, Europe, Asia Pacific, and Latin America, American Conference Institute (ACI) provides a diverse portfolio devoted to providing business intelligence to senior decision makers who need to respond to challenges spanning various industries in the US and around the world. As a member of our sponsorship faculty, your organization will be deemed as a partner. We will work closely with your organization to create the perfect business development solution catered exclusively to the needs of your practice group, business line or corporation. For more information about this program or our global portfolio of events, please contact: Wendy Tyler Head of Sales, American Conference Institute Tel: x5242 w.tyler@americanconference.com Continuing Legal Education Credits CLE Credits Accreditation will be sought in those jurisdictions requested by the registrants which have continuing education requirements. This course is identified as nontransitional for the purposes of CLE accreditation. ACI certifies that the activity has been approved for CLE credit by the New York State Continuing Legal Education Board in the amount of the 14.0 hours. ACI certifies that this activity has been approved for CLE credit by the State Bar of California in the amount of hours. ACI has a dedicated team which processes requests for state approval. Please note that event accreditation varies by state and ACI will make every effort to process your request. Continuing Professional Education Credits American Conference Institute (ACI) will apply for Continuing Professional Education credits for all conference attendees who request credit. There are no prerequisites and advance preparation is not required to attend this conference. Course objective: Coverage for medical professional liability insurance and its relationship to the business of insurance. CPE Credit: 14.0 hours. ACI is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, or by visiting the web site: To request credit, please check the appropriate box on the registration form. Who You Will Meet Insurance Professionals, Including Underwriters Claims Managers Outside Counsel Specializing In: Medical Malpractice Litigation Medical Professional Liability Coverage Brokers In-House Counsel Leading Physicians and Other Medical Professionals Hospital Risk & Quality Assurance Managers Media Partner: Top Consultants American Conference Institute, 2014 Register Now AmericanConference.com/MedProfLiab 7

8 PRIORITY SERVICE CODE 683I15.E American Conference Institute s National Advanced Forum on MEDICAL PROFESSIONAL LIABILITY October 30 31, 2014 The Carlton Hotel New York, NY REGISTRATION FORM ATTENTION MAILROOM: If undeliverable to addressee, please forward to: Healthcare or Medical Underwriter/Broker/Claims; Medical Malpractice Attorney A unique opportunity to hear from industry leaders from: Oklahoma Insurance Department Kansas Insurance Department Zurich North America MGIS Underwriting Managers BerkleyMed Integro Insurance Brokers Montefiore Medical Center CRICO Premier Insurance Management Services North Shore Physicians Group Transatlantic Re Allied World Assurance Company North Shore LIJ Health System St. Francis Hospital Gould & Lamb LLC West Virginia United Health System Odyssey Re Business Health Resources, Inc. Physician-Patient Alliance for Health & Safety Physicians Insurance A Mutual Company ACE Group Arnot Medical Services Hospital Quality Institute Professional Liability Fund Markel Medical Insurance Exchange of California The Graham Company ESIS ProClaim Fireman s Fund Insurance Company Professional Risk Associates BerkleyNet Registration Fee The fee includes the conference all program materials continental breakfasts lunches and refreshments. Payment Policy Payment must be received in full by the conference date. All discounts will be applied to the Conference Only fee (excluding add-ons), cannot be combined with any other offer, and must be paid in full at time of order. Group discounts available to individuals employed by the same organization. Cancellation and Refund Policy You must notify us by at least 48 hrs in advance if you wish to send a substitute participant. Delegates may not share a pass between multiple attendees without prior authorization. If you are unable to find a substitute, please notify American Conference Institute (ACI) in writing up to 10 days prior to the conference date and a credit voucher valid for 1 year will be issued to you for the full amount paid, redeemable against any other ACI conference. If you prefer, you may request a refund of fees paid less a 25% service charge. No credits or refunds will be given for cancellations received after 10 days prior to the conference date. ACI reserves the right to cancel any conference it deems necessary and will not be responsible for airfare hotel or other costs incurred by registrants. No liability is assumed by ACI for changes in program date content speakers or venue. CONFERENCE CODE: 683I15-NYC o YES! Please register the following delegate for MEDICAL PROFESSIONAL LIABILITY CONTACT DETAILS NAME APPROVING MANAGER ORGANIZATION ADDRESS POSITION POSITION CITY STATE ZIP CODE TELEPHONE FAX TYPE OF BUSINESS o I would like to receive CLE accreditation for the following states:. See CLE details inside. Hotel Information American Conference Institute is pleased to offer our delegates a limited number of hotel rooms at a preferential rate. Please contact the hotel directly and mention the code A38A38B to receive this rate. Venue: The Carlton Hotel Address: 88 Madison Avenue, New York, NY Reservations: or Incorrect Mailing Information If you would like us to change any of your details please fax the label on this brochure to our Database Administrator at , or data@americanconference.com. ACI reserves the right to deny admission to anyone, at any time, for any reason. 5 Easy Ways to Register MAIL American Conference Institute 45 West 25th Street, 11th Floor New York, NY PHONE FAX Inquire about special rates for groups, government, academia, insurers, brokers & risk managers ONLINE FEE PER DELEGATE Register & Pay by Aug 8, 2014 Register & Pay by Sep 30, 2014 Register after Sep 30, 2014 o Conference $1795 $2095 $2295 o Please reserve additional copies of the Conference Materials at $499 per copy. PAYMENT Please charge my o VISA o MasterCard o AMEX o Discover Card o Please invoice me NUMBER EXP. DATE CARDHOLDER o I have enclosed my check for $ made payable to American Conference Institute (T.I.N ) o ACH Payment ($USD) Please quote the name of the attendee(s) and the event code 683I15 as a reference. For US registrants: Bank Name: HSBC USA Address: 800 6th Avenue, New York, NY Account Name: American Conference Institute UPIC Routing and Transit Number: UPIC Account Number: Non-US residents please contact Customer Service for Wire Payment information CustomerService@AmericanConference.com MISSED A CONFERENCE ORDER THE CONFERENCE MATERIALS NOW! If you missed the chance to attend an ACI event, you can still benefit from the conference presentation materials. To order the Conference Materials, please call or visit: SPECIAL DISCOUNT We offer special pricing for groups and government employees. Please or call for details. Promotional discounts may not be combined. ACI offers financial scholarships for government employees, judges, law students, non-profit entities and others. For more information, please or call customer service.