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Academic offers online learning programs, medico-legal educational workshops and continuing education opportunities to members, residents, and allied health professionals.
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Coverages
Non-Standard Program
AMPIE RRG
1250 Broadway, Suite 3401
New York, NY 10001
Tel: 800-416-1143 or 646-808-0602
Fax: 646-808-0601
Email: pleone@academicins.com
This program has been designed for “residual market” physicians such as those who are covered by the Medical Malpractice Insurance Pool (“MMIP”). It is about you and your practice and its central objective is to help restore you to the standard market.
Your policy is provided by Academic Medical Professionals Insurance Exchange Risk Retention Group* (“AMPIE RRG”). Even though your policy will be offered by an RRG, it is significantly reinsured for risk-bearing purposes by Lloyd’s of London.
The application process starts by having you complete a lengthy application including reporting your claims. The application asks you to help by working with an onsite investigation and by allowing us to talk to lawyers who may have defended you in the past. Follow the steps listed below to apply
Your policy is provided by Academic Medical Professionals Insurance Exchange Risk Retention Group* (“AMPIE RRG”). Even though your policy will be offered by an RRG, it is significantly reinsured for risk-bearing purposes by Lloyd’s of London.
The application process starts by having you complete a lengthy application including reporting your claims. The application asks you to help by working with an onsite investigation and by allowing us to talk to lawyers who may have defended you in the past. Follow the steps listed below to apply
To apply, please print out the application and release forms that are in the appropriately marked downloads below, and include the following with your application:
- Fully completed application, signed and dated
(Do not leave anything blank!) - Release, signed and dated
(this is part of the application) - Curriculum Vitae
- Declaration page of current professional liability policy
- Claims History including detailed information of allegations, disposition, defense attorney,
plaintiff’s attorney and indemnity payment
(if applicable) - Copies of all current licenses
* Academic Exchange may not be subject to all states' insurance laws and regulations. Insureds are not protected by state insurance insolvency guaranty funds.
Send applications to (or for further information, contact):
Peter Leone, Sr., Non-Standard Program DirectorAMPIE RRG
1250 Broadway, Suite 3401
New York, NY 10001
Tel: 800-416-1143 or 646-808-0602
Fax: 646-808-0601
Email: pleone@academicins.com
Downloads