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Norcal Providers

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NORCAL CME

NORCAL Broker
Contact Information

NORCAL Mutual Benefit Company
Provider Site

For existing and prospective physicians and health care entities with
Norcal Mutual Benefit Company or interested in finding out more
information, this web page will help get you started with all of your
needs. If you don't find what you are looking for, then please
contact Eric Johnsen to send an email by clicking on his name.

Certificate of Insurance Request

If you need a certificate of insurance for yourself or an entity
requesting a certificate, please complete the information below and
press send.

New Provider Applications

If you are a new provider requesting an application or an existing Norcal
provider adding a physician or mid-level provider to your practice, you may
download the required application by following the link below and printing it out
on your local printer, complete the application, and faxing back to our office at
(831) 484-1058. Please complete and submit the complete application at
least one week prior to your start date, and include your curriculum vitae,
copy of your medical and DEA license, and copy of your current professional
liability carrier policy if request prior acts coverage.

Continuing Medical Education

NORCAL’s risk management-based continuing medical education (CME)
materials are designed to help you enhance patient care and communication
while reducing your malpractice risks and fulfilling your continuing medical
education requirements.

As a provider, you may receive a discount of up to 5% of your annual premium
by participating in and completing Norcal's CME offerings.

Norcal's CME program includes:

A dual focus on clinical and administrative issues
Practical tools for your practice including sample forms, reference materials
and other helpful items
Quality content developed by a team of independent medical faculty, attorneys,
claims professionals and in-house risk management experts
Convenient distance-learning courses—available in hard copy booklet form or
online—that can be completed in the comfort of your home or office.

For more information and current course offerings through Norcal, click on the
link below.

NORCAL CME Courses

Filing A Claims Report

In the unfortunate event a claim or pending lawsuit is filed, it is important to
notify Norcal immediately of the pending claim or lawsuit. Norcal's very
successful track record of managing such claims will assure you of their
attention to detail with regard to the claim.

When to Report a Claim

Depending on the state in which you live, there are several ways in which you
could be notified of a medical malpractice claim or lawsuit. Promptly contact a
NORCAL claims representative if you receive any of the following:

California

Summons and Complaint
90-day notice
Subpoena, request for records or request for deposition
Demand Letter
Communication from the MBC or privileging body

Alaska

Summons and Complaint
Demand letter
Subpoena for records or deposition
Rhode Island » Communication from the Board of Medical Licensure
and Discipline
Summons and Complaint
Demand letter

Early Reporting of Incidents

There are several key indicators that can signal future legal action because of a
procedural complication or patient dissatisfaction. Early reporting of potential
claims, or "incidents," can make all the difference in NORCAL’s ability to
evaluate and defend actions initiated against you. NORCAL features a "good
faith" early reporting policy, so there will be no adverse impact on the
insurability of your practice. Promptly contact a NORCAL claims representative
if you experience any of the following:

Complication
Any unanticipated bad result that you believe could precipitate a
malpractice claim.
Dissatisfaction
A direct or indirect expression of displeasure by either a patient or a
patient’s family member about the care rendered.

Notification of A Patient Complaint
Any written or verbal notice from your local medical society or other organization
concerning a patient report or complaint about your treatment.

Request for Medical Records
A written or verbal request by a patient’s attorney, copy service or the patient,
even on an "informal" basis. Any request to release records must be
accompanied by a valid written Authorization, signed by the patient or legal
custodian.

Medical-Legal Situation
Any situation in which a potential claim could be avoided with your appropriate
action or response.

Physicians Administrative Defense (PAD) Reimbursement Coverage
Promptly contact a NORCAL claims representative if you receive any of the
following:

Written notice of an administrative proceeding involving credentialing,
privileges, managed care, licensure or other state or federal reviews.
Written receipt of notification of an employment-related civil action.

NORCAL Customer Representatives

Please call the following numbers if you have determined from the information
above that filing a report is appropriate:

To report an incident or notification of a claim, including issues related to
Physicians Administrative Defense (PAD) Reimbursement Coverage, contact
one of NORCAL’s regional claims offices.

Central and Northern California and all CMIC clinics (California, Arizona
and New Mexico) (800) 416-0791
Southern California and Arizona (800) 356-5513
Alaska (outside Anchorage) (800) 770-3414
Alaska (in Anchorage) (907) 563-3414
Rhode Island (800) 230-1004


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Comments - include: - Party to be included on the certificate - Relationship to the party (locums, PT endorsed physician, hospital) - Effective date