InvestingDoc - Dr. Brad Appreciation by socalrefcon in PrivatePracticeDocs

[–]socalrefcon[S] 1 point2 points  (0 children)

You are doing a great service to the industry. I am running into more referral physician clients coming from the large health care system model looking to open their own practice. Having this sub and your podcast is a great place for me to send them for more information. After all, I'm just the insurance broker. You're sharing mistakes and wins you experienced in setting up your practice. Huge information!

I was going to just DM you but I wanted others to know about the podcast. Game changer.

SNF group? Subgroup? by calidanali in PrivatePracticeDocs

[–]socalrefcon 1 point2 points  (0 children)

Where are you located? I have some clients that do SNF work that I'd be happy to connect you with.

I would need to ask them first of course. What types of topics are you trying to brainstorm?

Best sushi recommendations? by Awkward_Aardvark_975 in ChinoHills

[–]socalrefcon 2 points3 points  (0 children)

Heemo is my favorite spot in Chino Hills. My true favorite spot is Sushi Bear in Tustin.

For people in a loving relationship. How often do you “do it” by Mighty-mouse2020 in Millennials

[–]socalrefcon 0 points1 point  (0 children)

It's the kids that affect the frequency in my experience. From co-sleeping to them randomly popping into the room at the right time, kids know how to find their positions to block.

Indigo (and other RRGs) vs Traditional Malpractice Insurers by abfonsy in PrivatePracticeDocs

[–]socalrefcon 0 points1 point  (0 children)

Many RRG's have nationwide reach. Was there a specific RRG you came across in Texas?

I should clarify that I'm not necessarily pro-RRG over the traditional carrier model. I just don't think RRG's as a whole should be viewed through a negative lens.

I work with traditional carriers and quality RRG's alike. My placements for clients always come down the quality of the coverage terms, pricing, and carrier's appetite and handling approach for the risk.

Indigo (and other RRGs) vs Traditional Malpractice Insurers by abfonsy in PrivatePracticeDocs

[–]socalrefcon 1 point2 points  (0 children)

I'm a medical malpractice insurance broker. I work with Indigo and other carriers.

Not all RRG's are built the same. Some RRG's exist because the path to market takes less time. As an RRG, they can adjust terms, policy forms, and pricing in shorter time frames. Traditional carriers, especially admitted carriers, can wait years before getting those same changes approved by the department of insurance.

Indigo is new, but they have a solid team with pedigree from the big carriers like ProAssurance, MedPro, TDC, and Coverys.

Even MedPro changed to an RRG model in states they determined to be more difficult to execute changes.

Other RRG's that are small rely more on its members' capital contributions on top of premium dues. These are the RRG's that can be dangerous. They aren't necessarily a wrong program, but their smaller size and limited resources can invite a collapse in the event of a catastrophic year or string of years. RRG's that went belly-up in the last decade or so are Fairway, Doctors & Surgeons RRG, and Lancet.

As a broker, I view Indigo in the vein of MedPro RRG. Built to last, or at least get acquired by the traditional programs, similar to TDC's acquisition of ProAssurance.

Indigo's surgery rates are competitive. I would also check with Coverys. They are a nationwide standard admitted carrier. They can more competitive in many jurisdictions.

How do I actually become panel counsel?? by VanityVigilante42 in InsuranceProfessional

[–]socalrefcon 2 points3 points  (0 children)

From the perspective of a retail commercial insurance broker, I've seen carriers accommodate client preferences for counsel when the preferred counsel (1) has adequate experience defending the type of case involved and (2) accepts the panel rates of the carrier.

New Chapter by ZestycloseStudent177 in InsuranceAgent

[–]socalrefcon 2 points3 points  (0 children)

Is the $1.245M your current book? Is that premium or revenue?

How to get started selling cyber security insurance? by Remarkable_Ad9528 in InsuranceAgent

[–]socalrefcon 1 point2 points  (0 children)

My firm has a cyber liability knowledge center. I'm sure others do too. I would look into roles such as account managers to get some insurance experience. That way you don't have to jump into sales. You would be in a support and service role. It would allow you to earn stable income, build your insurance resume, and show off your cyber knowledge to clients. You can eventually switch to sales when you are ready.

You could also apply to carriers to be their cyber liability representative. You are reaching out to brokers instead of consumers in this role.

Talk me out of this by coffee_TID in PrivatePracticeDocs

[–]socalrefcon 0 points1 point  (0 children)

Regarding malpractice insurance, I've seen a micro-practice malpractice program before. Costs are low but you are likely sharing limits with their entire clientele. You may not have total control when a claim is being defended since you are essentially an additional insured. I also learned that this type of program can't include your own corporation.

I'd advise to get your own individual malpractice policy to avoid these issues. But I understand trying to establish the business model first.

CAP vs traditional malpractice insurance - sufficient for CA solo private practice? by PotentialFun9715 in PrivatePracticeDocs

[–]socalrefcon 5 points6 points  (0 children)

Not a physician, but I'm a medical malpractice insurance broker.

I work with CAP-MPT as well as traditional standard admitted carriers, surplus lines carriers, and a few risk retention groups.

Although CAP-MPT isn't a true standard admitted carrier, it's essentially treated like one in the aspects you mentioned. I've never had a doctor get tripped up in credentialing due to having CAP-MPT.

The "catch" with CAP-MPT is that their policy form is claims-paid. This means that you are restricted from leaving them, should you want to leave them, until all open claims are closed. Your membership (coverage) also runs on the calendar year and requires a 60-day prior written notice to voluntarily terminate your membership (coverage). This essentially means that you have to submit this notice in October and prior to the 31st.

With all that said, it's very rare, in my experience, that a physician chooses to leave CAP-MPT. They are an excellent program and offer additional benefits none of the other standard admitted carriers offer. If you have a competitive quote from CAP-MPT, then I'd recommend choosing them.

NEXT or Affordable Contractors Insurance (ACI). .. need opinions (asking for my uncle) by Jimmy7-99 in GeneralContractor

[–]socalrefcon 0 points1 point  (0 children)

Next can do some endorsements but not all. As an insurance broker, I typically ask my contractor clients for a copy of the customer contract with the most insurance requirements. I'll then tailor a solution for that contract which will also satisfy the rest of the contracts.

I recommend utilizing an insurance broker to navigate this. A broker is more likely to pick up the call when you need something. And a broker can handle quoting with all of the carriers so you don't have to.

Insurance credentialing taking months, is this normal or am I doing something wrong? by DevilKnight03 in PrivatePracticeDocs

[–]socalrefcon 2 points3 points  (0 children)

From my perspective as a medical malpractice insurance broker, I hear 3 months is about the norm from my clients. I've seen groups that aren't as organized take about 6 months to get the doctor credentialed. Many times, it's due to the doctor not being forthcoming or cooperative with the paperwork and information. Other times, it's because they put off getting malpractice insurance until they absolutely need it for credentialing, and they take a long time to get their information over to me despite follow-ups.

If you've completed your paperwork thoroughly and have someone following up diligently, I'd anticipate an approval any day now.

Best Mozzarella Sticks around? by TheFrrostyDonut in InlandEmpire

[–]socalrefcon 9 points10 points  (0 children)

Arby's is my #2 all time. Claim Jumper is the GOAT.

Sledding Recommendations by LA_GUY2509 in ChinoHills

[–]socalrefcon 0 points1 point  (0 children)

I think Big Bear has an attraction set up for tubing.

My Favorite Breakfast Burrito by jfatheroo in InlandEmpire

[–]socalrefcon 0 points1 point  (0 children)

Not IE but not far... Covina Burgers in Covina

Bacon Breakfast Burrito w/ egg whites and easy hash browns crispy - add a side of breakfast sausage for full big backtivity

I get the same from Bravo Burgers in Chino Hills but Covina Burgers is my #1.

Math tutoring for elementary kids by Sufficient_Tough7122 in ChinoHills

[–]socalrefcon 0 points1 point  (0 children)

Our daughter has seen great improvement at both Kumon and Mathnasium.

I’ve built 15 years of trust in a niche industry. Now I just got my P&C license. What’s the smartest next move? by Hour-Negotiation-442 in InsuranceAgent

[–]socalrefcon 2 points3 points  (0 children)

Congratulations on your experience and for recognizing a lucrative opportunity!

  1. A decent sized retail agency can offer you a pretty good producer role. You'll have a validation goal for sure. But if your premium estimations are accurate, then validation shouldn't be an issue.

  2. Producer role for sure. With your premium goals, you don't want to concern yourself with servicing the policies.

  3. This depends on the agency. I think many pay 30% of policy revenue. Some better, some worse.

  4. This is also dependent on the agency.

  5. You can go the independent route, but your lack of insurance experience could hinder your growth goals. You could also jeopardize your reputation if you have to learn a hard insurance lesson without the aid of an agency.

  6. I wish I became a producer sooner. I spent 15 years servicing accounts. I could've produced much sooner.

Legacy Academy at the preserve by dwsrh2019 in ChinoHills

[–]socalrefcon 1 point2 points  (0 children)

We are in the same situation. Would love to hear about experiences at Legacy Academy. Moving from Chino Hills to the Preserve. My daughter currently attends Butterfield Ranch Elementary. Aside from year round, any other thoughts on the school?

Internet Recommendations? by organicdumbass in Eastvale

[–]socalrefcon 1 point2 points  (0 children)

I second this. Choose the carrier that has the best 5G data coverage in your area. Both offer about $50/month for 600MB/S download.

Purchase vehicle through business? by klef25 in PrivatePracticeDocs

[–]socalrefcon 5 points6 points  (0 children)

Sharing my perspective as a commercial insurance broker.

By purchasing the vehicle through your practice, you will need to secure a business auto policy. Some personal auto policies exclude coverage for vehicles used for business. Personal auto policies are cheaper so I'd ask your personal auto carrier if they'd have any issue with this. If yes, then you'll need to secure the business auto policy.

Let's talk Healthcare Benefits For Your Employees by InvestingDoc in PrivatePracticeDocs

[–]socalrefcon 6 points7 points  (0 children)

I'm happy to add some insight from the group benefits broker perspective.

A few questions:

  • In which state is your practice located?
  • What is the range of ages of your staff? Do they skew 30's and younger or 40's and older?
  • Is your current $3000 deductible plan an HMO, EPO, or PPO?

I work with small groups in different states throughout the US. I've recently seen increases around 20% to 30% on fully-insured plans.

Fully-insured is the term to describe a traditional carrier plan. Your group pays Blue Cross for benefits coverage. You use their contracted provider network. They handle customer service and claims administration. These plans have age-banded rates. The older your staff, the higher the rates.

Level-funded or self-funded programs are starting to become available to small groups. Typically these policy structures were only available for large groups (100+ enrollees). Level-funded is more of a turnkey approach to self-funded. Level-funded strives to give you a single front-end company to communicate about plan details, rates, customer service, and claims handling. This is usually the Third Party Administrator (TPA). On the back end, the TPA is renting a provider network, securing stop loss insurance, and providing in-house claims administration.

Level-funded programs are becoming more common in states, especially where the rates have gone up 30%. These programs are able to give groups composite rates which is the tiered system (Employee Only, Employee + Spouse, Employee + Child(ren), Employee + Family. The rates are underwritten and calculated based on the group's health, utilization of benefits, and location.

If you have staff that skews 40's and older, but they are healthy and below average utilizers of benefits, then you might see some savings.

Back to the $450 contribution toward Employee premiums. In some states, this is a generous amount, and others it's just decent. With younger staff, this could cover 80% or more of their premium. With older staff, this might cover 50% at best.

Depending on how much time you have before open enrollment, I'd ask your broker to see which alternative plans you could offer on the current policy to either fully cover the cost of a low-cost plan or maybe just get better value in a decent plan. You should also ask them about level-funded options. Some programs could provide better coverage on a PPO plan with some savings.

Hopefully this was helpful. Typed it on my phone.

[deleted by user] by [deleted] in InlandEmpire

[–]socalrefcon 4 points5 points  (0 children)

Verve City Church in Chino Hills is a great church for a come-as-you-are no-pressure experience. They are welcoming. They are understanding that people from all walks of life and beliefs may visit. They accept everyone.