Item O05 0.5
County f � .�� ",�, 1 BOARD OF COUNTY COMMISSIONERS
Mayor Craig Cates,District 1
Mayor Pro Tem Holly Merrill Raschein,District 5
The Florida Keys
Michelle Lincoln,District 2
James K.Scholl,District 3
David Rice,District 4
County Commission Meeting
April 19, 2023
Agenda Item Number: 0.5
Agenda Item Summary #11931
BULK ITEM: No DEPARTMENT: County Attorney's Office
TIME APPROXIMATE: STAFF CONTACT: Brian Bradley (305) 295-3177
no
AGENDA ITEM WORDING: Approval to accept proposal for Professional Liability coverage for
Air Flight Nurses from Evanston Insurance through agent Marsh, and authorization for the Risk
Manager to execute all necessary forms.
ITEM BACKGROUND: The County's Professional Liability policy for its Flight Nurses expires
on May 1, 2023. The County is required to have this policy because its primary liability policy
specifically excludes healthcare services rendered by nurses. The current policy is provided by
Evanston Insurance Company and has a per incident limit of$1,000,000, an annual aggregate limit
of$3,000,000, and no deductible. Coverage is provided on a"Claims Made" basis with a
Retroactive Date of 4/26/07. The annual premium for the expiring policy is $16,500. It should be
noted that there are few insurers that offer this type of insurance.
Evanston has agreed to renew the coverage with terms and conditions consisting with the expiring
policy for an annual premium of$21,866. This represents an increase of$5,366 (32.52%). Marsh
indicated that a majority of this increase is due to an increase in the number of nurses participating in
the Air Ambulance program. Last year Evanston replaced Illinois Union as the insurer when they
offered similar terms and conditions for a cost that was lower than Illinois Union's proposal. Last
year the premium decreased by $6,500. The County will be paying effectively what they paid for
the 2022 policy.
PREVIOUS RELEVANT BOCC ACTION:
On April 20, 2022 BOCC approved to accept proposal for Professional Liability coverage for Air
Flight Nurses from Evanston Insurance through agent Marsh.
CONTRACT/AGREEMENT CHANGES:
n/a
STAFF RECOMMENDATION: Approval.
Packet Pg. 2905
0.5
DOCUMENTATION:
01- 2023 County of Monroe - Markel Quote for Medical Professional Liability Insurance
County of Monroe 2023 Air Ambulance Proposal Comparisons
Recommendation Letter
FINANCIAL IMPACT:
Effective Date: 5/1/23
Expiration Date: 4/30/24
Total Dollar Value of Contract: $21,866
Total Cost to County: $21,866
Current Year Portion: $21,866
Budgeted: Yes
Source of Funds: Internal Service Fund/Primarily Ad Valorem
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: No If yes, amount:
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details:
None.
04/19/23 503-08502 - RISK MGMT INSURANCE $21,866.00
REVIEWED BY:
Brian Bradley Completed 03/30/2023 6:40 PM
Cynthia Hall Completed 03/31/2023 2:29 PM
Bob Shillinger Completed 04/03/2023 9:20 AM
Purchasing Completed 04/03/2023 9:25 AM
Budget and Finance Completed 04/03/2023 12:48 PM
Lindsey Ballard Completed 04/03/2023 1:12 PM
Board of County Commissioners Pending 04/19/2023 9:00 AM
Packet Pg. 2906
O.5.a
IIII IIIIIIIII ° IIIII IIIIIquote
Gener aIl informadon 0
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Coverage: Specified Medical Professions
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Date 03/28/2023 Deal number 0776-
Producer Marsh USA, Inc. Attention Andrew Barakat
From Jonathan Matteo Issuing company Evanston Insurance Company, a Surplus ,
Lines CompanyCL
Applicant Monroe Countyor of County Quote expiration Thirty ( 0) days, or if this is the issuing
Commissioners company's renewal,the policy expiration
date
0
Effective date 05/01/2023 Expiration date 05/01/2024 CL
Commission 1 . %
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QuoteIl li i Ii s and irli n
IIII�IODUUI UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUV �I m� �I� II UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU
Premium
Defenseutsi Limits
Professional liability (claims made)
Limits of liability 0-
Each claim ,000,000
r ate $3,000,000 ra
Each claim deductible 0
Retroactive date 0 / 6/ 007 0
Professional services Nurses Staffing Services for Helicopter Transport
CY
Additional coverages 6
Sexual acts liability
Each claima�
Aggregate $3,000,000
Deductible (each claim) 0 0
Retroactive date 0 / 6/ 007
Combinedi i liability
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Insuring agreements designated below by" "(®) share the combined aggregate limit of liability. M
......... ......... ......... ......... ......... ......... ......... ......... ......... .........
Combined aggregate limit of liability ,000,000
Markel Northeast Region,a divisionof Markel Service,Incorporated
310 Highway 35 South,
Red Bank,NJ,07701 1 (732)224-0500
www.markelcorp.com
Packet Pg. 2907
O.5.a
Professional
_liability
_ ❑
General liability ❑ 76
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None ® CL
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0
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Coverage highlights
LO
Sexual Abuse
Claims Expenses in Addition
PremiumiPeriod
year(s) at 0% 12 year(s) at 7 % 13 year(s) at 00% of the total premium.
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DUI ectiVities
0
Terms are subject to receipt, review and acceptance of the following, by an underwriter of EvanstonInsurance Company,
Surplus Lines Company, prior to binding coverage. 0
. Confirmation of the number of transports. CL
2. Certificate of Insurance for Helicopter transport services
3. Markel Application Acceptance Supplement -fully completed, signed, and dated.
. Certificate of Insurance for Physicians or contracted providers at same limit or greater than
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In li li In S
. The broker is responsible for all surplus lines filings and taxes.
2. This quotation is subject to the underwriter's receipt, review, and acceptance of the contingencies requested
above. The underwriter reserves the right to change any terms based upon review of the requested sujcivitis. 76
3. The Billing Company will be Markel Service, Incorporated. C
. The terms and conditions of this indication/quote may differ materially from those requested in your submission.
We will, upon request, provide sample policy forms for your review prior to binding.
. This quotation is valid for thirty days from the original date of first quotation or until proposed effective date,
whichever is earlier.
2
Coverage forms and endarsements
JIL 1000 08 10 Signature Page
IL - L 01 10 Florida Policy Holder Notice -
PIL 1007 0120 Privacy Notice
PIL 1083 04 15 U.S. Treasury Department's Office Of ForeignAssets Control (" ") Advisory Notice
o Policyholders CY
IL 100108 10 Forms Schedule
MDSM 5013 02 20 Dec Spec Med Professions Insurance Policy
2 20 Spec Medical Professions Profes Liab Ins Cov Part
2 20 CommonPolicy Conditions 0
IL 00- % 07 04 Minimumr Premium ors t
IL 5229 09 10 Longer Duration Extended Report Period Availability
MESM 2004 10 12 Claim Exp in Add to Each ClaimLimit of Liab
MESM 27 - L 11 12 Consent to Settlement - Florida
02 20 Sexual Acts Liability Scheduled Deductible And Retroactive Date
MESM 2147 05 20 Changes - Multiple Insureds, Claims And Claimants c,)
MESM 3029 10 19 Exclusion - Correctional Medicine
IL 1214 09 17 Trade or coo is Sanctions Q
Markel Northeast Region,a divisionof Markel Service,Incorporated
310 Highway 35 South,
Red Bank,NJ,07701 1 (732)224-0500
www.markelcorp.com 2
Packet Pg. 2908
0.5.b
Named Insured
Monroe County Board of Monroe County Board of
County Commissioners County Commissioners g
Carrier Evanston Insurance Company Evanston Insurance Company
Premium $16,500 $21,866 L-
CIL
%Increase over Expiring 32.w2%
Limits O
4-
Each Medical Incident $1,000,000 $1,000,000 @
Aggregate $3,000,000 $3,000,000 U)
Deductible CL
Each Medical Incident/Aggregate $0 $0 0-
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Healthcare Professional Lia MESM 5010 02 20 MESM 5010 02 20
aB B 8
Specified Operations Limited to
Nurse Staffing Services for Nurse Staffing Services for
�y
Helicopter Transport Helicopter Transport
Retroactive Date 4/26/2007 4/26/2007
Claims-Made Yes Yes
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Defense in Addition to Limits of Liability Yes Yes
3 days, i�r irl of 10irvdaysrf r non 30 diya e�e�.ejl 10 days for anon �
Notice of Cancellation
U r x�,: Y (�
I Y rflcienriaunr
Minimum Earned 25% 25%
idc,rnrilty arid dc,11 risr riiclr rnrilty and d 1c,riirsc,, r�
Abuse&Molestation
c(w arir,wills a 211c 1,,3!Vl ,(wc,,i arir 0th a ii11,�!1iVl
ubliirul..r r(Ac;a fiu, lal.. sublii�ut rdre�,a9r .,11u: I'al.. CL
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raggrc,'g atr Iln'ihf aggr gatr Iirrilt CL
Abuse&Molestation retro date Y 26:'f)f)'l Y 26 ,;'f)f)P <
Blanket Additional Insured Where Required by Written y y e)
Contract 0
O
Blanket Waiver of Subrogation Where Required by
No No
Contract
Yes,for administrative duties Yes,for administrative duties CL
Medical Directors as Insureds only only
O
Punitive Damages ::m<l dcd mr luck d U
Aircraft,Auto,®Mobile Equipment or Watercraft Yes Yes U)
O
Asbestos No No CL
O
Contractual Liability Yes Yes
CIL
Coronavirus/Communicable Disease �40 �40 ap
Criminal Acts Yes Yes
Directors&Officers Yes Yes c�
Dishonest, Fraudulent, Malicious, Uninsurable Acts Yes Yes
Employers Liability Yes Yes
Employment Related Practices Yes Yes
ERISA Yes Yes
Non Monetary Damages Yes Yes M
Nuclear Energy Liability Yes Yes N
Pollution Yes Yes CN
Terrorism Yes Yes
O
Viloation of An Antitrust Law Yes Yes
War or Terrorism Yes Yes O
Correctional Medicine Yes Yes
T f s exxplaanaatlon repr,,sents as syrrarl s/s of Coverage and/s provided as a r,,furence on/y. The arctuaalpollcy, Includlog O
a>rrdorsurr ent,s do ortrfinos Coverage It cr:ntaln's oxxc/uucrrrrt,s' Irrrrrtaations or or h or prov/slr:ms not refr,renced here and 1h o �
polrcy,sh ould be consulted for full coverage t rro,s, cr ndltrrrrr,s and requrrurr ent,s �
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Notes:
1. Premiums DO NOT INCLUDE Florida surplus lines taxes
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Subiectivites:
1.Confirmation of the number of transports.
2.Certificate of Insurance for Helicopter transport services
3. Markel Application Acceptance Supplement-fully completed,signed,and dated.
4.Certificate of Insurance for Physicians or contracted providers at same limit or greater than$1 M. Packet Pg. 2909
O.5.c
InteriskCorporation
Risk Mgt.&Employee Benefits
Consultants ,
1101 Red Maple Circle N.E.,St. Petersburg, Florida 33703-6318 — telephone: 813-287-1040
www.interisk.net
0
March 29,2023 0
Brian Bradley RMLO,FCRM
Risk Manager
Monroe County Attorney's Office
1111 12th Street,Suite 408
Key West, FL 33040
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Subject: Renewal of the County's Air Ambulance Nurses Medical Professional Liability Coverage g
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Brian:
0
The County's Professional Liability policy for its Flight Nurses expires on May 1,2023. The current
policy is provided by Evanston Insurance Company that has a per incident limit of$1,000,000 and an
annual aggregate limit of$3,000,000. There is no deductible associated with this policy. Coverage is U)
provided on a"Claims Made"basis with a Retroactive Date of 4/26/07. The annual premium for the 0
expiring policy is$16,500. Evanston enjoys a favorable rating from the A.M.Best Company,the leading
evaluator of insurance company operations.
Evanston has agreed to renew the coverage with terms and conditions consisting with the expiring policy
for an annual premium of$21,866. This represents an increase of$5,366(32.52%). Marsh indicated that a �?
majority of this increase is due to an increase in the number of nurses participating in the Air Ambulance
program. Last year Evanston replaced Illinois Union as the insurer when they offered similar terms and
conditions for a cost that was lower than Illinois Union's proposal. Last year the premium decreased by
$6,500. The County will be paying effectively what they paid for the 2022 policy.
0
It is recommended that the County renew its Flight Nurse Professional Liability coverage with Evanston
Insurance Company for the policy term of 5/l/23 to 5/l/24. >
0
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Please give me a call if you have any questions or wish to discuss this issue in further detail.
Cordially, g
INTERISK CORPORATION
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Sidney G.Webber
CPCU,ARM
Packet Pg. 2910