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1 The Classification Codes and related information and materials are owned by, copyrighted by, and proprietary to Insurance Services Office, Inc. ("ISO"). They are being used here with the consent of ISO for the sole purpose of maintaining consistency in the gathering of the data requested. The ISO material is not to be used for any other purpose without the express written consent of ISO. 1

2 MEDICAL PROFESSIONAL LIABILITY INSURANCE PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY SUBLINE 230 DENTISTS LIABILITY (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Dentists Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Dentists - N.O.C. No. of Person Months Corporate Liability No Exposure Employed Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Employed Dentists - N.O.C. No. of Person Months Partnership Liability No Exposure X-Ray Therapy - by employed dentists No. of Person Months X-Ray Therapy - by insured dentists No. of Person Months DENTISTS LIABILITY (In Active United States Military Service) DESCRIPTION BASIS Dentists No. of Person Months Additional Charge for X-Ray Therapy No. of Person Months DENTISTS LIABILITY (Employed Full Time by the Federal Government but Not in Active United States Military Service) DESCRIPTION BASIS Dentists Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Dentists - N.O.C. No. of Person Months Additional Charge for X-Ray Therapy No. of Person Months PHYSICIANS AND SURGEONS LIABILITY (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Aerospace Medicine No. of Person Months Allergy No. of Person Months Anesthesiology No. of Person Months Broncho-Esophagology No. of Person Months

3 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY - SUBLINE 230 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Cardiovascular Disease - minor surgery No. of Person Months Cardiovascular Disease - no surgery No. of Person Months Dermatology - minor surgery No. of Person Months Dermatology - no surgery No. of Person Months Diabetes - minor surgery No. of Person Months Diabetes - no surgery No. of Person Months Emergency Medicine - including major surgery No. of Person Months Emergency Medicine - no major surgery No. of Person Months Endocrinology - minor surgery No. of Person Months Endocrinology - no surgery No. of Person Months Family Physicians or General Practitioners - minor surgery No. of Person Months Family Physicians or General Practitioners-no surgery No. of Person Months Forensic Medicine No. of Person Months Gastroenterology - minor surgery No. of Person Months Gastroenterology - no surgery No. of Person Months General Preventive Medicine - no surgery No. of Person Months Geriatrics - minor surgery No. of Person Months Geriatrics - no surgery No. of Person Months Gynecology - minor surgery No. of Person Months Gynecology - no surgery No. of Person Months Hematology - minor surgery No. of Person Months Hematology - no surgery No. of Person Months Hypnosis No. of Person Months Infectious Diseases - minor surgery No. of Person Months Infectious Diseases - no surgery No. of Person Months Intensive Care Medicine No. of Person Months Internal Medicine - minor surgery No. of Person Months Internal Medicine - no surgery No. of Person Months Laryngology - minor surgery No. of Person Months Laryngology - no surgery No. of Person Months Legal Medicine No. of Person Months Neoplastic Diseases - minor surgery No. of Person Months Neoplastic Diseases - no surgery No. of Person Months Nephrology - minor surgery No. of Person Months Nephrology - no surgery No. of Person Months Neurology - including child - minor surgery No. of Person Months Neurology - including child - no surgery No. of Person Months Nuclear Medicine No. of Person Months Nutrition No. of Person Months Occupational Medicine No. of Person Months Opthalmology - minor surgery No. of Person Months Opthalmology - no surgery No. of Person Months Otology - minor surgery No. of Person Months

4 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY SUBLINE 230 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Otology - no surgery No. of Person Months Otorhinolaryngology - minor surgery No. of Person Months Otorhinolaryngology - no surgery No. of Person Months Pathology - minor surgery No. of Person Months Pathology - no surgery No. of Person Months Pediatrics - minor surgery No. of Person Months Pediatrics - no surgery No. of Person Months Pharmacology - clinical No. of Person Months Physiatry No. of Person Months Physical Medicine and Rehabilitation No. of Person Months Physicians - minor surgery - N.O.C. No. of Person Months Physicians no major surgery: These classifications apply to all general practitioners or specialists except those performing major surgery, anesthesiology or acupuncture anesthesiology, who perform any of the following medical techniques or procedures: Colonoscopy No. of Person Months ERCP (endoscopic retrograde cholangiopancreatography) No. of Person Months Laparoscopy (Peritoneoscopy) No. of Person Months Pneumatic or mechanical esophageal dilation (not with bougie or olive) No. of Person Months Radiopaque Dye - Injections into blood vessels, lymphatics, sinus tracts or fistulae. (Not applicable to Radiologists, code 80280) No. of Person Months Acupuncture - other than acupuncture anesthesia No. of Person Months Angiography No. of Person Months Arteriography No. of Person Months Catheterization - arterial, cardiac or diagnostic - other No. of Person Months than (1) the occasional emergency insertion of pulmonary wedge pressure recording catheters or temporary pacemakers (2) urethral catheterization or (3) umbilical cord catheterization for diagnostic purposes or for monitoring blood gases in newborns receiving oxygen. Discograms No. of Person Months Lasers - used in Therapy No. of Person Months Lymphangiography No. of Person Months Myleography No. of Person Months Phlebography No. of Person Months Needle Biopsy - including lung and prostate but not including liver, kidney or bone marrow biopsy No. of Person Months Pneumoencephalography No. of Person Months Radiation Therapy No. of Person Months Shock Therapy No. of Person Months

5 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY SUBLINE 230 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Physicians - no surgery - N.O.C. No. of Person Months Physicians or Surgeons Assistants No. of Person Months Psychiatry - including child No. of Person Months Psychoanalysis No. of Person Months Psychosomatic Medicine No. of Person Months Public Health No. of Person Months Pulmonary Diseases - no surgery No. of Person Months Radiology - diagnostic - minor surgery No. of Person Months Radiology - diagnostic - no surgery No. of Person Months Retired Physicians or Surgeons No. of Person Months Rheumatology - no surgery No. of Person Months Rhinology - minor surgery No. of Person Months Rhinology - no surgery No. of Person Months Surgery - abdominal No. of Person Months Surgery - cardiac No. of Person Months Surgery - cardiovascular disease No. of Person Months Surgery - colon and rectal No. of Person Months Surgery - endocrinology No. of Person Months Surgery - gastroenterology No. of Person Months Surgery - general - This classification does not apply to No. of Person Months any family or general practitioner or to any specialist who occasionally performs major surgery. Surgery - general practice or family practice No. of Person Months Surgery - geriatrics No. of Person Months Surgery - gynecology No. of Person Months Surgery - hand No. of Person Months Surgery - head and neck No. of Person Months Surgery - laryngology No. of Person Months Surgery - neoplastic No. of Person Months Surgery - nephrology No. of Person Months Surgery - neurology - including child No. of Person Months Surgery - obstetrics No. of Person Months Surgery - obstetrics - gynecology No. of Person Months Surgery - ophthalmology No. of Person Months Surgery - orthopedic No. of Person Months Surgery - otology No. of Person Months Surgery - otorhinolaryngology No. of Person Months Surgery - plastic - N.O.C. No. of Person Months Surgery - plastic - otorhinolaryngology No. of Person Months Surgery - rhinology No. of Person Months

6 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY - SUBLINE 230 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Surgery - thoracic No. of Person Months Surgery - traumatic No. of Person Months Surgery - urological No. of Person Months Surgery - vascular No. of Person Months Corporate Liability No Exposure Employed Physicians or Surgeons Assistants No. of Person Months Employed Nurse Anesthetists No. of Person Months Employed Physicians or Surgeons No. of Person Months Employed Technicians - radium, including diagnostic X-ray laboratory or pathological No. of Person Months Employed Technicians- radiation therapy No. of Person Months Partnership Liability No Exposure Radiation Therapy - by employed physicians or surgeons involved with major surgery No. of Person Months Radiation Therapy - by insured physicians or surgeons involved with major surgery No. of Person Months Shock Therapy - by employed physicians or surgeons involved with major surgery No. of Person Months Shock Therapy - by insured physicians or surgeons involved with major surgery No. of Person Months PHYSICIANS AND SURGEONS LIABILITY (In Active United States Military Service) DESCRIPTION BASIS Physicians no surgery No. of Person Months Physicians no major surgery No. of Person Months The additional charges for radiation or shock therapy do not apply to this classification. Physicians - minor surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months

7 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY - SUBLINE 230 PHYSICIANS AND SURGEONS LIABILITY (continued) (In Active United States Military Service) DESCRIPTION BASIS Physicians or Surgeons - major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons - major surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months No. of Person Months Physicians or Surgeons - major surgery Radiation Therapy No. of Person Months Shock Therapy No. of Person Months PHYSICIANS AND SURGEONS LIABILITY (Employed Full Time by the Federal Government but Not in Active United States Military Service) DESCRIPTION BASIS Physicians or Surgeons No. of Person Months

8 PHYSICIANS, SURGEONS AND DENTISTS PROFESSIONAL LIABILITY - SUBLINE 230 FULL TIME TEACHING PHYSICIANS AND SURGEONS DESCRIPTION BASIS Physicians - No Surgery No. of Person Months This classification applies to those physicians who would normally be assigned to codes through 80269, inclusive. Physicians - Minor Surgery No. of Person Months This classification applies to those physicians who would normally be assigned to codes through 80294, inclusive, and code Physicians or Surgeons - Major Surgery No. of Person Months Physicians or Surgeons - Major Surgery No. of Person Months normally be assigned to code Physicians or Surgeons - Major Surgery No. of Person Months Physicians or Surgeons - Major Surgery No. of Person Months Physicians or Surgeons - Major Surgery No. of Person Months

9 HOSPITAL PROFESSIONAL LIABILITY AND OTHER HEALTH CARE DRUGGISTS LIABILITY SUBLINE 210 DESCRIPTION BASIS Drugstores retail Per $1,000 of Receipts HOSPITAL PROFESSIONAL LIABILITY AND OTHER HEALTH CARE FACILITIES LIABILITY SUBLINE 210 DESCRIPTION BASIS Blood Banks No. of Donations Clinics, Dispensaries or Infirmaries - treatment of outpatients only - no regular bed and board facilities For-Profit Per 100 outpatient visits Per 100 Outpatient Visits Not-for-Profit Per 100 outpatient visits Per 100 Outpatient Visits Governmental Per 100 outpatient visits Per 100 Outpatient Visits Convalescent or Nursing Homes - not mental psychopathic institutions For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not-for-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Governmental Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Hospitals - N.O.C. For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not-for-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Governmental Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Medical or X-Ray Laboratories Per $1,000 of Receipts

10 HOSPITAL PROFESSIONAL LIABILITY AND OTHER HEALTH CARE FACILITIES LIABILITY SUBLINE 210 HOSPITAL PROFESSIONAL LIABILITY (continued) DESCRIPTION BASIS Mental-Psychopathic Institutions For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not-for-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Governmental Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Outpatient Surgical Facilities No Exposure Sanitariums or Health institutions- not hospitals or mental-psychopathic institutions For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not-for-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Governmental Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Drugless healing institutions such as chiropractic, naturopathic, sanipractic and Christian Science institutions No Exposure Additional Interests - premium charges for additional interests and losses and claims incurred by such additional interests when the premium is a percentage of the basic hospital professional liability premium No Exposure

11 OTHER HEALTH CARE PROFESSIONAL LIABILITY SUBLINE 240 DESCRIPTION BASIS Chiropodists/Podiatrists No. of Person Months Employed Chiropodists/Podiatrists No. of Person Months Partnership Liability No. of Person Months Chiropodists/Podiatrists - in Active United States Military Service No. of Person Months Chiropodists/Podiatrists - employed full time by the Federal Government - N.O.C No. of Person Months Chiropractors No. of Person Months Employed Chiropractors No. of Person Months Partnership Liability No. of Person Months Employees: Dental Hygienists No. of Person Months Medical Laboratory Technicians No. of Person Months Opticians No. of Person Months Pharmacists No. of Person Months Physiotherapists No. of Person Months X-Ray Technicians No. of Person Months Additional Charge: X-Ray Therapy No. of Person Months Hearing Aid Service Establishments retail Per $1,000 of Receipts Midwives No. of Person Months Nurses LPNs No. of Person Months Nurses RNs No. of Person Months Additional Charges X-Ray Therapy No. of Person Months Anesthetists No. of Person Months Nurses - Alternative Program For Registered Nurses Exposure, Total Premium and Losses, except losses as indicated under codes and No. of Person Months Losses resulting from the broadening of the Medical Professional coverage under the Alternative Program for Registered Nurses Losses resulting from the Personal Injury coverage under the Alternative Program for Registered Nurses Opticians (proprietor) Optical Establishments retail Per $1,000 of Receipts Optometrists No. of Person Months Employed Optometrists No. of Person Months Partnership Liability No. of Person Months Physiotherapists No. of Person Months Employed Physiotherapists No. of Person Months Partnership Liability No. of Person Months Physiotherapists - in Active United States Military Service No. of Person Months Physiotherapists - employed full time by the Federal Government N.O.C No. of Person Months Visiting Nurse Associations No. of Visits

12 OSTEOPATHS PROFESSIONAL LIABILITY SUBLINE 230 (Not in Active U.S. Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Allergy No. of Person Months Anesthesiology No. of Person Months Broncho-esophagology No. of Person Months Cardiovascular Disease - minor surgery No. of Person Months Cardiovascular Disease - no surgery No. of Person Months Dermatology - minor surgery No. of Person Months Dermatology - no surgery No. of Person Months Diabetes - minor surgery No. of Person Months Diabetes - major surgery No. of Person Months Emergency Medicine - incl. major surgery No. of Person Months Emergency Medicine - no major surgery No. of Person Months Endocrinology - minor surgery No. of Person Months Endocrinology - no surgery No. of Person Months Family Physicians or General Practitioners - minor surgery No. of Person Months Family Physicians or General Practitioners - no surgery No. of Person Months Forensic Medicine No. of Person Months Gastroenterology - minor surgery No. of Person Months Gastroenterology - no surgery No. of Person Months Geriatrics - minor surgery No. of Person Months Geriatrics - no surgery No. of Person Months Gynecology - minor surgery No. of Person Months Gynecology - no surgery No. of Person Months Hematology - minor surgery No. of Person Months Hematology - no surgery No. of Person Months Hypnosis No. of Person Months Infectious Diseases - minor surgery No. of Person Months Infectious Diseases - no surgery No. of Person Months Intensive Care Medicine No. of Person Months Internal Medicine - minor surgery No. of Person Months Internal Medicine - no surgery No. of Person Months Laryngology - minor surgery No. of Person Months Laryngology - no surgery No. of Person Months Legal Medicine No. of Person Months Manipulator No. of Person Months Neoplastic Diseases - minor surgery No. of Person Months Neoplastic Diseases - no surgery No. of Person Months Nephrology - minor surgery No. of Person Months Nephrology - no surgery No. of Person Months Neurology - incl. child - minor surgery No. of Person Months Neurology - incl. child - no surgery No. of Person Months Nuclear Medicine No. of Person Months Nutrition No. of Person Months Occupational Medicine No. of Person Months Ophthalmology - minor surgery No. of Person Months Ophthalmology - no surgery No. of Person Months Otology - minor surgery No. of Person Months Otology - no surgery No. of Person Months Otorhinolaryngology - minor surgery No. of Person Months Otorhinolaryngology - no surgery No. of Person Months Pathology - minor surgery No. of Person Months Pathology - no surgery No. of Person Months Pediatric - minor surgery No. of Person Months Pediatric - no surgery No. of Person Months

13 OSTEOPATHS PROFESSIONAL LIABILITY SUBLINE 230 (Not in Active U.S. Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Pharmacology clinical No. of Person Months Physical Medicine and Rehabilitation No. of Person Months Physicians - minor surgery No. of Person Months Physicians - no major surgery: These classifications apply to all general practitioners or specialists except those performing major surgery, anesthesiology or acupuncture anesthesiology, who perform any of the following medical techniques or procedures: Colonoscopy No. of Person Months ERCP (endoscopic retrograde cholangiopancreatography) No. of Person Months Laparoscopy (Peritoneoscopy) No. of Person Months Pneumatic or mechanical esophageal dilation (not with bougie or olive) No. of Person Months Radiopaque Dye - Injections into blood vessels, lymphatics, No. of Person Months sinus tracts or fistulae. (Not applicable to Radiologists, code 84280*) Needle Biopsy - including lung, liver, kidney and prostate but not No. of Person Months including bone marrow biopsy Acupuncture - other than acupuncture anesthesia No. of Person Months Angiography No. of Person Months Arteriography No. of Person Months Catheterization - arterial, cardiac or diagnostic - other No. of Person Months than (1) the occasional emergency insertion of pulmonary wedge pressure recording catheters or temporary pacemakers, (2) urethral catheterization or (3) umbilical cord catheterization for diagnostic purposes or for monitoring blood gases in newborns receiving oxygen. Discograms No. of Person Months Lasers - Used in Therapy No. of Person Months Lymphangiography No. of Person Months Myleography No. of Person Months Phlebography No. of Person Months Pneumoencephalography No. of Person Months Radiation Therapy No. of Person Months Shock Therapy No. of Person Months Physicians - no surgery - N.O.C. No. of Person Months Physicians or Surgeons Assistants No. of Person Months Psychiatry incl. child No. of Person Months Psychoanalysis No. of Person Months Psychosomatic Medicine No. of Person Months Pulmonary Disease - no surgery No. of Person Months Radiology - diagnostic - minor surgery No. of Person Months Radiology - diagnostic - no surgery No. of Person Months Retired Physicians or Surgeons No. of Person Months Rheumatology - no surgery No. of Person Months Rhinology - minor surgery No. of Person Months Rhinology - no surgery No. of Person Months Sclerotherapy No. of Person Months Surgery - abdominal No. of Person Months Surgery - cardiac No. of Person Months Surgery - cardiovascular No. of Person Months Surgery - colon and rectal No. of Person Months Surgery - endocrinology No. of Person Months Surgery - gastroenterology No. of Person Months Surgery - general - This classification does not apply to any family or general practitioner or to any specialist who occasionally performs major surgery No. of Person Months

14 OSTEOPATHS PROFESSIONAL LIABILITY SUBLINE 230 (Not in Active U.S. Military Service and Not Otherwise Employed Full Time by the Federal Government) DESCRIPTION BASIS Surgery - general practice or family practice No. of Person Months Surgery - geriatrics No. of Person Months Surgery - gynecology No. of Person Months Surgery - hand No. of Person Months Surgery - head and neck No. of Person Months Surgery - laryngology No. of Person Months Surgery - neoplastic No. of Person Months Surgery - nephrology No. of Person Months Surgery - neurology - incl. child No. of Person Months Surgery - obstetrics No. of Person Months Surgery - obstetrics - gynecology No. of Person Months Surgery - ophthalmology No. of Person Months Surgery - orthopedic No. of Person Months Surgery - otology No. of Person Months Surgery - otorhinolaryngology No. of Person Months Surgery - plastic - N.O.C. No. of Person Months Surgery - plastic - otorhinolaryngology No. of Person Months Surgery - rhinology No. of Person Months Surgery - thoracic No. of Person Months Surgery - traumatic No. of Person Months Surgery - urological No. of Person Months Surgery - vascular No. of Person Months Corporate Liability No Exposure Partnership Liability No Exposure Employed Nurse Anesthetists No. of Person Months Employed Physicians or Surgeons Assistants No. of Person Months Employed Physicians or Surgeons No. of Person Months Employed Technicians - Radium, including diagnostic X-ray, laboratory or pathological No. of Person Months Employed Technicians - radiation therapy No. of Person Months Shock Therapy - by employed physicians or surgeons No. of Person Months involved with major surgery Shock Therapy - by insured physicians or surgeons No. of Person Months involved with major surgery Radiation Therapy - by employed physicians or surgeons No. of Person Months Radiation Therapy - by insured physicians or surgeons No. of Person Months

15 OSTEOPATHS PROFESSIONAL LIABILITY SUBLINE 230 (Employed Full Time by the Federal Government but Not in Active U.S. Military Service) DESCRIPTION BASIS Physicians or Surgeons No. of Person Months (In Active United States Military Service) DESCRIPTION BASIS Physicians - no surgery No. of Person Months Physicians - no major surgery No. of Person Months Physicians - minor surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons - major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons - major surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months Radiation Therapy No. of Person Months Shock Therapy No. of Person Months

16 OSTEOPATHS PROFESSIONAL LIABILITY FULL TIME TEACHING PHYSICIANS AND SURGEONS - SUBLINE 230 DESCRIPTION BASIS Physicians - no surgery No. of Person Months normally be assigned to codes through 84269, inclusive. Physicians - minor surgery No. of Person Months normally be assigned to codes through 84294, inclusive. Physicians or Surgeons - major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons - major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons - major surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months Physicians or Surgeons - major surgery No. of Person Months HOSPITAL PROFESSIONAL AND OTHER HEALTH CARE FACILITIES LIABILITY SUBLINE 210 DESCRIPTION BASIS Clinics, Dispensaries or Infirmaries - treatment of outpatients only Osteopathic Per 100 Outpatient Visits Per 100 Outpatient Visits Hospitals Osteopathic Per bed No. of Beds Per 100 Outpatient Visits Per 100 Outpatient Visits Outpatient Surgical Facilities No Exposure

17 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 DENTISTS LIABILITY (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Dentists - N.O.C. No. of Person Months Teaching Dentists - Engaged in oral surgery or operative No. of Person Months dentistry on patients rendered unconscious through the administration of any anesthesia or analgesia Teaching Dentists - N.O.C. No. of Person Months Retired Dentists - who practice on a limited basis No. of Person Months Corporate Liability No Exposure Employed Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Employed Dentists - N.O.C. No. of Person Months Partnership Liability No Exposure X-Ray Therapy - by employed dentists No. of Person Months X-Ray Therapy - by insured dentists No. of Person Months DENTISTS LIABILITY (In Active United States Military Service) Dentists No. of Person Months Additional Charge for X-Ray Therapy No. of Person Months DENTISTS LIABILITY (Employed Full Time by the Federal Government but Not in Active United States Military Service) Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia No. of Person Months Dentists - N.O.C. No. of Person Months Additional Charge for X-Ray Therapy No. of Person Months

18 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 PHYSICIANS AND SURGEONS LIABILITY (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) Allergy/Immunology No. of Person Months Anesthesiology - Critical Care Medicine No. of Person Months Anesthesiology - Pain Management No. of Person Months Anesthesiology - All Other No. of Person Months Broncho Esophagology No. of Person Months Cardiovascular Disease - minor surgery No. of Person Months Cardiovascular Disease - no surgery No. of Person Months Dermatology - Clinical and Dermatological Immunology No. of Person Months Dermatopathology No. of Person Months All Other No. of Person Months Diabetes - minor surgery No. of Person Months Diabetes - no surgery No. of Person Months Emergency Medicine - including major surgery No. of Person Months Emergency Medicine - no major surgery No. of Person Months Endocrinology - minor surgery No. of Person Months Endocrinology - no surgery No. of Person Months Family Physicians or General Practitioners - minor surgery No. of Person Months Family Physicians or General Practitioners - no surgery No. of Person Months Forensic Medicine No. of Person Months Gastroenterology - minor surgery No. of Person Months Gastroenteroiogy - no surgery No. of Person Months Geriatrics - minor surgery No. of Person Months Geriatrics - no surgery No. of Person Months Gynecology - minor surgery No. of Person Months Gynecology - no surgery No. of Person Months Hematology - minor surgery No. of Person Months Hematology - no surgery No. of Person Months Hospitalists No. of Person Months Hypnosis No. of Person Months Infectious Diseases - minor surgery No. of Person Months Infectious Diseases - no surgery No. of Person Months Intensive Care Medicine No. of Person Months Internal Medicine - minor surgery No. of Person Months Internal Medicine - no surgery No. of Person Months Interns and Residents - Louisiana only No. of Person Months Laryngology - minor surgery No. of Person Months Laryngology - no surgery No. of Person Months Legal Medicine No. of Person Months Neonatal / Perinatal Medicine No. of Person Months Neoplastic Diseases - minor surgery No. of Person Months Neoplastic Diseases - no surgery No. of Person Months Nephrology - minor surgery No. of Person Months Nephrology - no surgery No. of Person Months Neurology - including child - minor surgery No. of Person Months Neurology - including child - no surgery - Pain Management No. of Person Months All Other No. of Person Months

19 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) Nuclear Medicine No. of Person Months Nutrition No. of Person Months Oncology minor surgery No. of Person Months Oncology no surgery No. of Person Months Ophthalmology minor surgery No. of Person Months Ophthalmology no surgery No. of Person Months Otology minor surgery No. of Person Months Otology no surgery No. of Person Months Otorhinolaryngology minor surgery No. of Person Months Otorhinolaryngology no surgery No. of Person Months Pathology Blood Banking /Transfusion Medicine minor surgery No. of Person Months Blood Banking /Transfusion Medicine no surgery No. of Person Months Cytopathology minor surgery No. of Person Months Cytopathology no surgery No. of Person Months All Other No. of Person Months Pediatrics minor surgery No. of Person Months Pediatrics no surgery No. of Person Months Pharmacology clinical No. of Person Months Physical Medicine and Rehabilitation Pain Management No. of Person Months All Other No. of Person Months Physicians minor surgery N.O.C. No. of Person Months Physicians no major surgery: These classifications apply to all general practitioners or specialists except those performing major surgery, anesthesiology or acupuncture anesthesiology, who perform any of the following medical techniques or procedures: Colonoscopy No. of Person Months ERCP (endoscopic retrograde cholangiopancreatography) No. of Person Months Laparoscopy (Peritoneoscopy) No. of Person Months Pneumatic or mechanical esophageal dilation (not with bougie or olive) No. of Person Months Radiopaque Dye Injections into blood vessels, lymphatics, sinus tracts or fistulae. (Not applicable to Radiologists, code ) No. of Person Months Acupuncture other than acupuncture anesthesia No. of Person Months Angiography No. of Person Months Arteriography No. of Person Months Catheterization arterial, cardiac or diagnostic other than No. of Person Months (1) the occasional emergency insertion of pulmonary wedge pressure recording catheters or temporary pacemakers, (2) urethral catheterization or (3) umbilical cord catheterization for diagnostic purposes or for monitoring blood gases in newborns receiving oxygen. Cryosurgery No. of Person Months Discograms No. of Person Months Lasers used in Therapy No. of Person Months

20 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) Physicians - no major surgery (cont'd) Lymphangiography No. of Person Months Myleography No. of Person Months Phlebography No. of Person Months Needle Biopsy - including lung and prostate but not including liver, kidney or bone marrow biopsy No. of Person Months Pneumoencephalography No. of Person Months Radiation Therapy No. of Person Months Shock Therapy No. of Person Months Physicians - no surgery - N.O.C. No. of Person Months Physicians or Surgeons Assistants No. of Person Months Preventive Medicine - no surgery - Aerospace Medicine No. of Person Months Occupational Medicine No. of Person Months Public/General Health Medicine No. of Person Months Medical Toxicology No. of Person Months Undersea/Hyperbaric Medicine No. of Person Months Psychiatry - Addiction Psychiatry No. of Person Months Child and Adolescent Psychiatry No. of Person Months Forensic Psychiatry No. of Person Months Geriatric Psychiatry No. of Person Months All Other No. of Person Months Psychoanalysis No. of Person Months Psychosomatic Medicine No. of Person Months Pulmonary Diseases - no surgery No. of Person Months Radiology - diagnostic - minor surgery No. of Person Months Radiology - diagnostic - no surgery No. of Person Months Radiology - therapeutic - minor surgery No. of Person Months Radiology - therapeutic - no surgery No. of Person Months Radiology - interventional No. of Person Months Retired Physicians or Surgeons No. of Person Months Rheumatology - no surgery No. of Person Months Rhinology - minor surgery No. of Person Months Rhinology - no surgery No. of Person Months Sports Medicine - minor surgery No. of Person Months Sports Medicine - no surgery No. of Person Months Surgery abdominal No. of Person Months Surgery cardiac No. of Person Months Surgery - cardiovascular disease No. of Person Months Surgery - colon and rectal No. of Person Months Surgery endocrinology No. of Person Months Surgery gastroenterology No. of Person Months Surgery - general - This classification does not apply to any No. of Person Months family or general practitioner or to any specialist who occasionally performs major surgery. Surgery - general practice or family practice No. of Person Months

21 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 PHYSICIANS AND SURGEONS LIABILITY (continued) (Not in Active United States Military Service and Not Otherwise Employed Full Time by the Federal Government) Surgery geriatrics No. of Person Months Surgery gynecology No. of Person Months Surgery hand No. of Person Months Surgery - head and neck No. of Person Months Surgery laryngology No. of Person Months Surgery neoplastic No. of Person Months Surgery nephrology No. of Person Months Surgery - neurology - including child No. of Person Months Surgery obstetrics No. of Person Months Surgery - obstetrics gynecology No. of Person Months Surgery oncology No. of Person Months Surgery ophthalmology No. of Person Months Surgery orthopedic No. of Person Months Surgery - otology No. of Person Months Surgery - otorhinolaryngology No. of Person Months Surgery - pediatric No. of Person Months Surgery - plastic - N.O.C. No. of Person Months Surgery - plastic - otorhinolaryngology No. of Person Months Surgery - rhinology No. of Person Months Surgery - thoracic No. of Person Months Surgery - traumatic No. of Person Months Surgery - urological No. of Person Months Surgery - vascular No. of Person Months Urology - minor surgery No. of Person Months Urology - no surgery No. of Person Months Corporate Liability No Exposure Employed Physicians or Surgeons Assistants No. of Person Months Employed Nurse Anesthetists No. of Person Months Employed Physicians or Surgeons No. of Person Months Employed Technicians - radium, including diagnostic X-ray laboratory or pathological No. of Person Months Employed Technicians - radiation therapy No. of Person Months Medical Review Boards No. of Person Months Partnership Liability No Exposure Radiation Therapy by employed physicians or surgeons involved with major surgery No. of Person Months Radiation Therapy - by insured physicians or surgeons involved with major surgery No. of Person Months Shock Therapy - by employed physicians or surgeons involved with major surgery No. of Person Months Shock Therapy - by insured physicians or surgeons involved with major surgery No. of Person Months

22 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 PHYSICIANS AND SURGEONS LIABILITY (In Active United States Military Service) Physicians no surgery No. of Person Months Physicians no major surgery No. of Person Months Physicians minor surgery No. of Person Months Physicians or Surgeons major surgery No. of Person Months Physicians or Surgeons major surgery No. of Person Months normally be assigned to the following code: Physicians or Surgeons major surgery No. of Person Months normally be assigned to one of the following codes: Physicians or Surgeons major surgery No. of Person Months normally be assigned to one of the following codes: Physicians or Surgeons major surgery No. of Person Months normally be assigned to one of the following codes: Radiation Therapy No. of Person Months Shock Therapy No. of Person Months PHYSICIANS AND SURGEONS LIABILITY (Employed Full Time by the Federal Government but Not in Active United States Military Service) Physicians or Surgeons No. of Person Months

23 PHYSICIANS, SURGEONS AND DENTISTS LIABILITY SUBLINES 215, 225 OR 235 FULL TIME TEACHING PHYSICIANS AND SURGEONS Physicians No Surgery No. of Person Months This classification applies to those physicians who would normally be assigned to codes through 80269, inclusive. Physicians Minor Surgery No. of Person Months This classification applies to those physicians who would normally be assigned to codes through 80294, inclusive. Physicians or Surgeons Major Surgery No. of Person Months Physicians or Surgeons Major Surgery No. of Person Months normally be assigned to code Physicians or Surgeons Major Surgery No. of Person Months Physicians or Surgeons Major Surgery No. of Person Months Physicians or Surgeons Major Surgery No. of Person Months

24 MEDICAL PROFESSIONAL LIABILITY OTHER THAN PHYSICIANS, SURGEONS AND DENTISTS HOSPITAL PROFESSIONAL LIABILITY SUBLINE 215 Alcohol/Drug Rehabilitation Centers For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not-For-Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Cardiac Stress Testing Centers - For-Profit Per 100 Outpatient Visits Cardiac Stress Testing Centers - Not-For-Profit Per 100 Outpatient Visits Clinics, Dispensaries or Infirmaries treatment of outpatients only no regular bed and board facilities For Profit Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per 100 outpatient visits Per 100 Outpatient Visits Convalescent or Nursing Homes not mental psychopathic institutions For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Hospices For Profit Per bed No. of Beds Not for Profit Per bed No. of Beds Hospitals N.O.C. For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Mental Psychopathic Institutions For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Rehabilitation Hospitals For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Outpatient Surgical Facilities No Exposure

25 MEDICAL PROFESSIONAL LIABILITY OTHER THAN PHYSICIANS, SURGEONS AND DENTISTS HOSPITAL PROFESSIONAL LIABILITY SUBLINE 215 (continued) Sanitariums or Health Institutions not hospitals or mental psychopathic institutions For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Skilled Nursing Facilities short term For Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Not for Profit Per bed No. of Beds Per 100 outpatient visits Per 100 Outpatient Visits Drugless healing institutions such as chiropractic, naturopathic, sanipractic and Christian Science institutions No Exposure Additional Interests premium charges for additional interests and losses and claims incurred by such additional interests when the premium is a percentage of the basic hospital professional liability premium No Exposure Other Health Care Facilities Subline 225: MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY Blood Banks No. of Donations Medical or X Ray Laboratories Per $1,000 of Receipts Other Health Care Professionals Subline 245: Other Than Employees Professional Liability: Acupuncturists No. of Person Months Art, Music and Dance Therapists No. of Person Months Chiropodists/Podiatrists No. of Person Months Chiropodists/Podiatrists in Active United States Military Service No. of Person Months Chiropodists/Podiatrists employeed full time by the Federal Government N.O.C. No. of Person Months Chiropractors No. of Person Months Hearing Aid Fitters / Audiologists No. of Person Months Inhalation / Respiratory Therapists No. of Person Months Massage Therapists No. of Person Months Medical Technologists No. of Person Months Nutritionists / Dietitians No. of Person Months Occupational Therapists No. of Person Months Orthotists / Prosthetists No. of Person Months Psychologists No. of Person Months Employees Professional Liability: Dental Hygienists No. of Person Months Hearing Aid Fitters / Audiologists No. of Person Months Inhalation / Respiratory Therapists No. of Person Months

26 MEDICAL PROFESSIONAL LIABILITY OTHER THAN PHYSICIANS, SURGEONS AND DENTISTS MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY SUBLINE 245 (continued) Employees Professional Liability: (cont'd) Massage Therapists No. of Person Months Medical Laboratory Technicians No. of Person Months Medical Technologists No. of Person Months Nutritionists / Dietitians No. of Person Months Occupational Therapists No. of Person Months Opticians No. of Person Months Orthotists / Prosthetists No. of Person Months Pharmacists No. of Person Months Physiotherapists No. of Person Months Psychologists No. of Person Months X Ray Technicians No. of Person Months Additional Charge: X Ray Therapy No. of Person Months Chiropodists/Podiatrists Employed Chiropodists/Podiatrists No. of Person Months Partnership or Corporate Liability No. of Person Months Chiropractors Employed Chiropractors No. of Person Months Partnership or Corporate Liability No. of Person Months Hearing Aid Service Establishments retail Per $ 1,000 of Receipts Midwives No. of Person Months Nurses LPNs No. of Person Months Nurses RNs No. of Person Months Additional Charges X Ray Therapy No. of Person Months Anesthetists No. of Person Months Nurses Alternative Program For Registered Nurses Exposure, Total Premium and Losses, except losses as indicated under codes and No. of Person Months Losses resulting from the broadening of the Medical Professional coverage under the Alternative Program for Registered Nurses Losses resulting from the Personal injury coverage under the Alternative Program for Registered Nurses Nurse Practitioners No. of Person Months Opticians (proprietor) Optical Establishments retail Per $ 1,000 of Receipts Optometrists No. of Person Months Employed Optometrists No. of Person Months Partnership or Corporate Liability No. of Person Months Paraprofessionals Emergency Medical Technicians and Paramedics No. of Person Months Ambulance Attendants No. of Person Months Physiotherapists No. of Person Months Employed Physiotherapists No. of Person Months Physiotherapists in Active United States Military Service No. of Person Months Physiotherapists employed full time by the Federal Government N.O.C No. of Person Months Visiting Nurse Associations No. of Visits