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Physician Tail Malpractice Insurance PlaybookFree Physician & Healthcare Contract Defense Tool

Physician Claims-Made Malpractice Tail Insurance & Pro-Rata Split Calculator

Hospital systems and private-equity medical groups routinely require departing physicians to pay 100% of Claims-Made Tail Coverage ($25,000–$65,000+) within 30 days of exit—even when laid off without Cause. Calculate your tail exposure & pro-rata vesting savings below, then scan your employment contract free.

Physician / Healthcare Employment Inputs

Specialty Malpractice Risk Preset
Annual Mature Claims-Made Premium ($/yr)$22,000/yr
Carrier Extended Reporting (Tail) Multiplier210% of Annual Premium
Completed Years of Service at Departure2 Years (68% Vested)
Unredlined Sign-On / Negative RVU Draw Clawback$18,000

100% Physician Tail + Clawback

$64,200

$46,200 Tail + $18,000 clawback

With Pro-Rata Split Redline

$14,784

$0 on Without-Cause exit; 32% on voluntary

Exit Penalty Protected

$49,416

Saved via Employer Tail Vesting + RVU Forgiveness

Departure Scenario Comparison (Tail Premium: $46,200)

Hospital Layoff / Termination Without Cause
Hospital Draft: $64,200Protected Redline: $0
Physician Resigns After Year 2 (Pro-Rata 34%/yr Vesting)
Hospital Draft: $64,200Protected Redline: $14,784
Initial 3-Year Contract Term Completed
Hospital Draft: $46,200Protected Redline: $0
Copy-Paste Physician Claims-Made Tail Allocation Clause

“CLAIMS-MADE TAIL COVERAGE ALLOCATION: Employer shall pay 100% of all Extended Reporting Endorsement ("Tail Coverage") premiums if Physician's employment terminates (a) by Employer without Cause, (b) by Physician for Good Reason, or (c) upon expiration of the Initial Term. If Physician resigns without Good Reason prior to the expiration of the Initial Term, Employer shall pay thirty-four percent (34%) of the Tail Coverage premium for each completed contract year of service (68% Employer share after Year 2), with zero negative RVU reconciliation or sign-on bonus clawback.”

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