MD Insurance Bulletin 08-16
Medical Professional Liability Rate Guide
MARTIN O'MALLEY
Govemor
ANTHONY G. BROWN
Lt. Govemor
DATE:
TO:
RALPH S. TYLER
Commissioner
BETH SAMMIS
Deputy Commissioner
P. RANDI JOHNSON
Associate
Commissioner
Property & Casualty
INsuneNcn
AonrrNrsrRATIoN
525 St. Paul Place, Baltimore, Maryland 21202-2272
www.mdinsurance.state.md.us
Bulletin 8- lb
June 20,2008
Medical Professional
Liabilitv Insurers
RE:
Medical Professional Liabilitv Rate Guide
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Pursuant to $2-303.2 and $19-112 of the Insurance Article, the Maryland Insurance
Administration ("MIA") hereby requests each medical professional liability insurer that offers
medical professional liability insurance policies in Maryland to provide information related to
medical professional liability insurance premiums for the following:
o For healthcare professionals (physicians and surgeons);
For hospitals, medical day care centers, hospice
freestanding ambulatory care facilities;
For dental healthcare professionals;
care programs, assisted living programs, and
o For nursing and certain allied health professionals.
These rates should be the base rates charged by class and by territory for policy limits of
51,000,000/$3,000,000 based upon mature claims-made rates, with a clean claims history.
Please provide the premiums as of October 1, 2008.
This information is necessary for the MIA to publish a medical professional liability rate
comparison guide in accordance with 52-303.2 of the Insurance Article. The comparison guide
will be posted on the MIA website and distributed in electronic and printed format.
The requested data should be provided in the required format (see attached). Please submit your
data via email. Electronic submission is mandatory. No paper documents will be accepted. Data
should be submitted to: lglemza@mdinsurance.state.md.us.
.G.
\:d
Property & Casualty Bulletin
i,
Medical Professional
Liability Premium Data Call
Page2
For questions, please contact Mr. Linas Glemza,Actuary, at (410) 469-2044.
In addition, please refer to the Summary of Revision page for a listing of revisions to this
request.
Please provide this information no later than August 2212009.
Ralph S. Tyler
Insurance Commissioner
By:
Associate Commissioner
Property & Casualty
Attachments:
o Excel File Format
o Data and File Requirements
Maryland Medical Malpractice Rate Guide Specifications
October 2008 edition
SUMMARY OF REVISIONS TO SPECIFICATIONS
There are no revisions to the specifications and reporting requirements from the edition.
However, the following are updates from 2007 specifications, but are included again for
emphasis:
1)
The MIA supplied spreadsheet has been updated to include pre-filled territory codes.
Therefore, each class now has three rows – one for each territory. If you have statewide rates
for certain classes, fill these in for each territory.
2)
Certain Profit/Non-Profit classes (MIA sort code 600) have been split into Profit and Non-
Profit classes, and now will have their own entries.
3)
The MIA supplied spreadsheet has been expanded to include the new/renewal request
portion of this call. Certain columns have already been filled in. You may delete rows for those
classes that are not written.
4)
Use “n/a” instead of “N/A” where necessary.
The following were revisions to the specifications from 2006. We are including them here for
your convenience:
1)
We are providing the actual spreadsheet for the company to fill in. Some columns are
already pre-filled. Do not change or add any formatting to that which is already provided;
2)
New code – MIA Specialty Group code – this is an MIA provided number and is used to
sort the data for output purposes. This number should not be altered;
3)
MIA Determined Class code – the purpose of this code is to create uniformity between
companies. This code is provided by the MIA and should not be altered;
4)
The MIA provided spreadsheet lists all the classes that need to be provided. If your
company does not write a particular class, enter n/a – do NOT delete the row. If your company
feels that a certain specific class does not fall into any of the categories provided, please
contact the MIA first. No other class codes are required.
October 2008
Excel File Format
All data must start in cell A3 of the spreadsheet. PLEASE use headers. Below lists the
columns in which the data must be placed. The placement of data must conform to this or the
submission will be returned. The data must be placed in the following columns:
Column
Description
(A)
NAIC Group Code
(B)
NAIC Company Code
(C)
Effective Date of rates (mm/dd/yyyy) for New Business
(D)
NAIC Company Name (NOT NAIC GROUP NAME)
(E)
MIA Specialty Group code
pre-filled
(F)
MIA determined class code
pre-filled
(G)
ISO Class code
pre-filled
(H)
Company Class Code number
(I)
Description/Name of class
pre-filled
(J)
Type of class code (see below)
pre-filled
(K)
Territory Code
pre-filled
1 = Baltimore City and Baltimore County
2 = Anne Arundel, Montgomery, Prince Georges and Howard counties
3 = Rest of State
(L)
Manual Premium ($1M/$3M, mature claims made with no claims, past or
pending)
Exclude Extended Reporting endorsement premium
No Claim – any situation where no surcharge would apply.
If company does not have rates for $1M/$3M, provide a rate that has
Coverage for $1M per claim and the closest aggregate limit.
> > > > > >
Types of Classes (include but not limited to):
1) All physicians and surgeons.
2) All Allied health professionals. Allied health includes nurses, technicians and any ancillary
classes.
3) All dentists, dental surgeons and ancillary dental healthcare providers;
4) Hospitals, medical day care centers, hospice care program, assisted living programs and
freestanding ambulatory care facilities
October 2008
DATA and FILE Requirements
Requirements:
1)
ALL ENTRIES MUST IN NUMERIC FORMAT, except for Columns C, D and I.
2)
Fill Column (L) with “n/a” if rates are not available for the scenario.
3)
For the Premiums, use numeric format (zero decimal places). Round off to whole
numbers.
4)
Filing naming convention
a) File name should contain NAIC group code (or NAIC Company code if group
code is zero). Using company name is an acceptable alternative.
b) The file name must also contain the letters “ML”.
c) There are no other specific requirements for naming convention.
5)
Spreadsheet detail requirements:
a) Arial font with font size of 12. Use default color of black;
b) Do not use 1000 separator (i.e. comma);
c) Rates must be rounded to ZERO decimal places;
d) Do not use currency format;
e) Except as noted in 1) above, all other cells must be in numeric format. Do not
use all caps for company name;
f) Do not submit formulas;
g) Row height is 12.75 (Excel default). Company name column width MUST be
set to 34.14. Company name must fit within this setting. There are no specific
width requirements for the remaining columns;
h) Do not activate “Wrap Text”;
i) Do not use borders or colored/highlighted cells;
For any other formatting issue, use the Excel default parameters.
6)
We now allow companies to submit disclaimers to their submissions. Due to
space limitations, please keep it brief. Place disclaimers on a separate spreadsheet
page from the premiums. Do not place any symbols next to the rates to explain a
disclaimer.
October 2008
7)
On the contact_info spreadsheet page, provide the following information:
Column A - Contact Name
Column B - Company Name
Column C - Company Address 1 (can also be Department name)
Column D - Company Address 2
Column E - City/State/Zip
Column F - Phone number for contact name
Column G - Fax number for contact name
Column H - Email address of contact name. DO NOT SUBMIT THIS
In HTML format. Text only.
Column I - An 800/888/866 (toll free) that your company uses for healthcare
professional inquiries.
Column J - website address for healthcare professional inquiries. DO NOT
SUBMIT in HTML format. Text only.
For column I, if your company does not have a phone number for this purpose, please
use the phrase “See Yellow Pages”.
8)
On the new_renew spreadsheet page, each insurer shall make a list of each
healthcare professional, hospital, medical day care center, hospice care program,
assisted living program and freestanding ambulatory care facility for which the insurer
accepts new and renewal business. Delete rows for those classes that you do not write.
The format shall be:
Column A
Company Name
Column B
Each class mentioned listed in your submission
Column C
“Yes” if accepting NEW business, “No” if not.
Column D
“Yes” if accepting RENEWAL business, “No” if not.
Column E
Risk Purchasing Group (RPG)
“Yes” if class is through an RPG only
“No” if class is not through an RPG
Both – if class is through either way.
Column B shall include the classes mentioned in the Excel File Format section.
October 2008
NAIC Grp NAIC Comp Effective
Company
MIA Special
Company
Type of
Territory
Code
Code
Date
Name
Sort Code
MIA Code
ISO Code Code
SPECIALTY
Class Code
Code
Premium
100
80178
80178
Administrative Medicine
1
1
100
80230
80133
Aerospace Medicine
1
1
100
80254
80254
Allergy/Immunology
1
1
100
80151
80151
Anesthesiology
1
1
100
80183
80183
Anesthesiology - All Other
1
1
100
80101
80101
Broncho-Esophagology
1
1
100
80255
80255
Cardiovascular Disease · No Surgery
1
1
100
80297
80297
Dermatology
1
1
100
80256
80256
Dermatology · No Surgery
1
1
100
80237
80237
Diabetes · No Surgery
1
1
100
80238
80238
Endocrinology · No Surgery
1
1
100
80423
80423
Fam/Gen Prac (No Ob) · Minor Surg
1
1
100
80420
80420
Fam/Gen Prac(No Ob) · No Surgery
1
1
100
80421
80421
Fam/Gen Practice (Inc Ob)(No Major Sur
1
1
100
80240
80240
Forensic/Legal Medicine (Except Psychia
1
1
100
80241
80241
Gastroenterology · No Surgery
1
1
100
80231
80135
General Preventive Medicine · No Surger
1
1
100
80243
80243
Geriatrics · No Surgery
1
1
100
80244
80244
Gynecology · No Surgery
1
1
100
80245
80245
Hematology · No Surgery
1
1
100
80222
80222
Hospitalist/House Staff
1
1
100
80232
80232
Hypnosis
1
1
100
80246
80246
Infectious Diseases · No Surgery
1
1
100
80283
80283
Intensive Care Medicine
1
1
100
80257
80257
Internal Medicine · No Surgery
1
1
100
80258
80258
Laryngology - No Surgery
1
1
100
80259
80259
Neoplastic Diseases · No Surgery
1
1
100
80260
80260
Nephrology · No Surgery
1
1
100
80299
80299
Neurology - incl child - No surgery - Pain
1
1
100
80261
80261
Neurology (Including Child) · No Surgery
1
1
100
80262
80262
Nuclear Medicine
1
1
100
80248
80248
Nutrition
1
1
100
80233
80233
Occupational Medicine
1
1
100
80263
80263
Ophthalmology · No Surgery
1
1
100
80264
80264
Otology - No surgery
1
1
100
80265
80265
Otorhinolaryngology · No Surgery
1
1
100
80266
80266
Pathology - No surgery
1
1
100
80267
80267
Pediatrics · No Surgery
1
1
100
80234
80234
Pharmacology - Clinical
1
1
100
80437
80437
Phys/Phys med/Rehabilitation(Inc Acupun
1
1
100
80235
80235
Physician Medicine and Rehabilitation
1
1
100
80268
80268
Physicians - N.O.C.· No Surgery
1
1
100
80236
80236
Public Health
1
1
100
80269
80269
Pulmonary Diseases · No Surgery
1
1
100
80425
80425
Radiology - Therapy
1
1
100
80253
80253
Radiology (Diagnostic) · No Surgery
1
1
100
80252
80252
Rheumatology · No Surgery
1
1
100
80247
80247
Rhinology - No Surgery
1
1
100
80304
80304
Urgent Care Med (No Hospital ER)
1
1
110
80166
80166
Abdominal Surgery
1
1
110
80141
80141
Cardiac - Surgery
1
1
110
80150
80150
Cardiovascular Disease - Surgery
1
1
110
80281
80281
Cardiovascular Disease · Minor Surgery
1
1
110
80282
80282
Cardiovascular Disease · Minor Surgery
1
1
110
80115
80115
Colon & Rectal-Surgery
1
1
110
80271
80271
Diabetes · Minor Surgery
1
1
110
80157
80157
Emergency Medicine - Inc. Major Surgery
1
1
110
80102
80102
Emergency Medicine (No Major Surgery)
1
1
110
80103
80103
Endocrinology - Surgery
1
1
110
80272
80272
Endocrinology · Minor Surgery
1
1
110
80117
80117
Family or General Practice - Surgery / No
1
1
110
80274
80274
Gastroenterology · Minor Surgery
1
1
110
80104
80104
Gastroenterology-Surgery
1
1
110
80143
80143
General Surgery - N.O.C
1
1
110
80276
80276
Geriatrics · Minor Surgery
1
1
110
80105
80105
Geriatrics-Surgery
1
1
110
80167
80167
Gynecology - Surgery
1
1
110
80277
80277
Gynecology · Minor Surgery
1
1
110
80169
80169
Hand &/or Foot - Surgery
1
1
110
80170
80170
Head & Neck Surgery
1
1
110
80278
80278
Hematology · Minor Surgery
1
1
110
80279
80279
Infectious Diseases · Minor Surgery
1
1
110
80284
80284
Internal Medicine · Minor Surgery
1
1
110
80285
80285
Laryngology - Minor Surgery
1
1
110
80106
80106
Laryngology - Surgery
1
1
110
80107
80107
Neoplastic Diseases - Surgery
1
1
110
80286
80286
Neoplastic Diseases · Minor Surgery
1
1
110
80108
80108
Nephrology - Surgery
1
1
110
80287
80287
Nephrology · Minor Surgery
1
1
110
80152
80152
Neurology ( including child) - Surgery
1
1
110
80288
80288
Neurology (Including Child) · Minor Surge
1
1
110
80168
80168
Obstetrics - Surgery
1
1
110
80153
80153
Obstetrics/gynecology - Surgery
1
1
110
80114
80114
Ophthalmology - Surgery
1
1
110
80289
80289
Ophthalmology · Minor Surgery
1
1
110
80154
80154
Orthopedic Surgery
1
1
110
80290
80290
Otology - Minor Surgery
1
1
110
80158
80158
Otology - Surgery
1
1
110
80291
80291
Otorhinolaryngology · Minor Surgery
1
1
110
80155
80155
Otorhinolaryngology · With Plastic - Surge
1
1
110
80159
80159
Otorhinolayngology - Major Surgery - No
1
1
110
80292
80292
Pathology - Minor surgery
1
1
110
80293
80293
Pediatrics · Minor Surgery
1
1
110
80294
80294
Physicians – This is a N.O.C. classificatio
1
1
110
80308
80301
Pulmonary Diseases · Minor Surgery
1
1
110
80449
80253
Radiology - Incl. Dye - minor surgery
1
1
110
80280
80280
Radiology (Diagnostic) · Minor Surgery
1
1
110
80270
80270
Rhinology - Minor surgery
1
1
110
80160
80160
Rhinology - Surgery
1
1
110
80156
80156
Surgeon - Plastic (N.O.C.)
1
1
110
80144
80144
Thoracic Surgery
1
1
110
80171
80171
Traumatic - Surgery (Not E.R.)
1
1
110
80145
80145
Urology - Surgery
1
1
110
80146
80146
Vascular - Surgery
1
1
121
80303
80303
Geneticist
1
1
121
80473
80473
IM-Oncology (No Surgery)
1
1
121
80269
80269
IM-Pulmonary (No Surgery)
1
1
121
80209
80209
Physical Medicine & Rehab (Major Proc)
1
1
121
80208
80208
Physical Medicine & Rehab (Minor Proc)
1
1
121
80208
80208
Physical Medicine & Rehab (Non-Invasive
1
1
121
80252
80252
Rheumatology · No Surgery
1
1
122
80422
80422
Cardiology (Left Heart Cath Only)
1
1
122
80443
80443
Colon&Rectal Surg(Min/Ltd)
1
1
122
80297
80297
Dermatology W/ Liposuction
1
1
122
80117
80117
FGP (With Obstetrics)
1
1
122
80273
80273
FP - Incl. deliveries
1
1
122
80143
80143
General Surgery (Minor Surgery)
1
1
122
80167
80167
Gynecology (w/ In-vitro Fertilization)
1
1
122
80154
80154
Orthopedic (Incl. Back)
1
1
122
80300
80294
Rheumatology · Minor Surgery
1
1
122
80116
80116
Surgical Specialty (Office,Min)
1
1
130
80249
80229
Psychiatry – including child
1
1
130
80250
80250
Psychoanalysis
1
1
130
80251
80251
Psychosomatic Medicine
1
1
130
80431
80431
Psychiatry - Incl Shock
1
1
130
80995
80995
Psychiatry - Extended
1
1
130
80998
Psychotherapy
1
1
100
80178
80178
Administrative Medicine
1
2
100
80230
80133
Aerospace Medicine
1
2
100
80254
80254
Allergy/Immunology
1
2
100
80151
80151
Anesthesiology
1
2
100
80183
80183
Anesthesiology - All Other
1
2
100
80101
80101
Broncho-Esophagology
1
2
100
80255
80255
Cardiovascular Disease · No Surgery
1
2
100
80297
80297
Dermatology
1
2
100
80256
80256
Dermatology · No Surgery
1
2
100
80237
80237
Diabetes · No Surgery
1
2
100
80238
80238
Endocrinology · No Surgery
1
2
100
80423
80423
Fam/Gen Prac (No Ob) · Minor Surg
1
2
100
80420
80420
Fam/Gen Prac(No Ob) · No Surgery
1
2
100
80421
80421
Fam/Gen Practice (Inc Ob)(No Major Sur
1
2
100
80240
80240
Forensic/Legal Medicine (Except Psychia
1
2
100
80241
80241
Gastroenterology · No Surgery
1
2
100
80231
80135
General Preventive Medicine · No Surger
1
2
100
80243
80243
Geriatrics · No Surgery
1
2
100
80244
80244
Gynecology · No Surgery
1
2
100
80245
80245
Hematology · No Surgery
1
2
100
80222
80222
Hospitalist/House Staff
1
2
100
80232
80232
Hypnosis
1
2
100
80246
80246
Infectious Diseases · No Surgery
1
2
100
80283
80283
Intensive Care Medicine
1
2
100
80257
80257
Internal Medicine · No Surgery
1
2
100
80258
80258
Laryngology - No Surgery
1
2
100
80259
80259
Neoplastic Diseases · No Surgery
1
2
100
80260
80260
Nephrology · No Surgery
1
2
100
80299
80299
Neurology - incl child - No surgery - Pain
1
2
100
80261
80261
Neurology (Including Child) · No Surgery
1
2
100
80262
80262
Nuclear Medicine
1
2
100
80248
80248
Nutrition
1
2
100
80233
80233
Occupational Medicine
1
2
100
80263
80263
Ophthalmology · No Surgery
1
2
100
80264
80264
Otology - No surgery
1
2
100
80265
80265
Otorhinolaryngology · No Surgery
1
2
100
80266
80266
Pathology - No surgery
1
2
100
80267
80267
Pediatrics · No Surgery
1
2
100
80234
80234
Pharmacology - Clinical
1
2
100
80437
80437
Phys/Phys med/Rehabilitation(Inc Acupun
1
2
100
80235
80235
Physician Medicine and Rehabilitation
1
2
100
80268
80268
Physicians - N.O.C.· No Surgery
1
2
100
80236
80236
Public Health
1
2
100
80269
80269
Pulmonary Diseases · No Surgery
1
2
100
80425
80425
Radiology - Therapy
1
2
100
80253
80253
Radiology (Diagnostic) · No Surgery
1
2
100
80252
80252
Rheumatology · No Surgery
1
2
100
80247
80247
Rhinology - No Surgery
1
2
100
80304
80304
Urgent Care Med (No Hospital ER)
1
2
110
80166
80166
Abdominal Surgery
1
2
110
80141
80141
Cardiac - Surgery
1
2
110
80150
80150
Cardiovascular Disease - Surgery
1
2
110
80281
80281
Cardiovascular Disease · Minor Surgery
1
2
110
80282
80282
Cardiovascular Disease · Minor Surgery
1
2
110
80115
80115
Colon & Rectal-Surgery
1
2
110
80271
80271
Diabetes · Minor Surgery
1
2
110
80157
80157
Emergency Medicine - Inc. Major Surgery
1
2
110
80102
80102
Emergency Medicine (No Major Surgery)
1
2
110
80103
80103
Endocrinology - Surgery
1
2
110
80272
80272
Endocrinology · Minor Surgery
1
2
110
80117
80117
Family or General Practice - Surgery / No
1
2
110
80274
80274
Gastroenterology · Minor Surgery
1
2
110
80104
80104
Gastroenterology-Surgery
1
2
110
80143
80143
General Surgery - N.O.C
1
2
110
80276
80276
Geriatrics · Minor Surgery
1
2
110
80105
80105
Geriatrics-Surgery
1
2
110
80167
80167
Gynecology - Surgery
1
2
110
80277
80277
Gynecology · Minor Surgery
1
2
110
80169
80169
Hand &/or Foot - Surgery
1
2
110
80170
80170
Head & Neck Surgery
1
2
110
80278
80278
Hematology · Minor Surgery
1
2
110
80279
80279
Infectious Diseases · Minor Surgery
1
2
110
80284
80284
Internal Medicine · Minor Surgery
1
2
110
80285
80285
Laryngology - Minor Surgery
1
2
110
80106
80106
Laryngology - Surgery
1
2
110
80107
80107
Neoplastic Diseases - Surgery
1
2
110
80286
80286
Neoplastic Diseases · Minor Surgery
1
2
110
80108
80108
Nephrology - Surgery
1
2
110
80287
80287
Nephrology · Minor Surgery
1
2
110
80152
80152
Neurology ( including child) - Surgery
1
2
110
80288
80288
Neurology (Including Child) · Minor Surge
1
2
110
80168
80168
Obstetrics - Surgery
1
2
110
80153
80153
Obstetrics/gynecology - Surgery
1
2
110
80114
80114
Ophthalmology - Surgery
1
2
110
80289
80289
Ophthalmology · Minor Surgery
1
2
110
80154
80154
Orthopedic Surgery
1
2
110
80290
80290
Otology - Minor Surgery
1
2
110
80158
80158
Otology - Surgery
1
2
110
80291
80291
Otorhinolaryngology · Minor Surgery
1
2
110
80155
80155
Otorhinolaryngology · With Plastic - Surge
1
2
110
80159
80159
Otorhinolayngology - Major Surgery - No
1
2
110
80292
80292
Pathology - Minor surgery
1
2
110
80293
80293
Pediatrics · Minor Surgery
1
2
110
80294
80294
Physicians – This is a N.O.C. classificatio
1
2
110
80308
80301
Pulmonary Diseases · Minor Surgery
1
2
110
80449
80253
Radiology - Incl. Dye - minor surgery
1
2
110
80280
80280
Radiology (Diagnostic) · Minor Surgery
1
2
110
80270
80270
Rhinology - Minor surgery
1
2
110
80160
80160
Rhinology - Surgery
1
2
110
80156
80156
Surgeon - Plastic (N.O.C.)
1
2
110
80144
80144
Thoracic Surgery
1
2
110
80171
80171
Traumatic - Surgery (Not E.R.)
1
2
110
80145
80145
Urology - Surgery
1
2
110
80146
80146
Vascular - Surgery
1
2
121
80303
80303
Geneticist
1
2
121
80473
80473
IM-Oncology (No Surgery)
1
2
121
80269
80269
IM-Pulmonary (No Surgery)
1
2
121
80209
80209
Physical Medicine & Rehab (Major Proc)
1
2
121
80208
80208
Physical Medicine & Rehab (Minor Proc)
1
2
121
80208
80208
Physical Medicine & Rehab (Non-Invasive
1
2
121
80252
80252
Rheumatology · No Surgery
1
2
122
80422
80422
Cardiology (Left Heart Cath Only)
1
2
122
80443
80443
Colon&Rectal Surg(Min/Ltd)
1
2
122
80297
80297
Dermatology W/ Liposuction
1
2
122
80117
80117
FGP (With Obstetrics)
1
2
122
80273
80273
FP - Incl. deliveries
1
2
122
80143
80143
General Surgery (Minor Surgery)
1
2
122
80167
80167
Gynecology (w/ In-vitro Fertilization)
1
2
122
80154
80154
Orthopedic (Incl. Back)
1
2
122
80300
80294
Rheumatology · Minor Surgery
1
2
122
80116
80116
Surgical Specialty (Office,Min)
1
2
130
80249
80229
Psychiatry – including child
1
2
130
80250
80250
Psychoanalysis
1
2
130
80251
80251
Psychosomatic Medicine
1
2
130
80431
80431
Psychiatry - Incl Shock
1
2
130
80995
80995
Psychiatry - Extended
1
2
130
80998
Psychotherapy
1
2
100
80178
80178
Administrative Medicine
1
3
100
80230
80133
Aerospace Medicine
1
3
100
80254
80254
Allergy/Immunology
1
3
100
80151
80151
Anesthesiology
1
3
100
80183
80183
Anesthesiology - All Other
1
3
100
80101
80101
Broncho-Esophagology
1
3
100
80255
80255
Cardiovascular Disease · No Surgery
1
3
100
80297
80297
Dermatology
1
3
100
80256
80256
Dermatology · No Surgery
1
3
100
80237
80237
Diabetes · No Surgery
1
3
100
80238
80238
Endocrinology · No Surgery
1
3
100
80423
80423
Fam/Gen Prac (No Ob) · Minor Surg
1
3
100
80420
80420
Fam/Gen Prac(No Ob) · No Surgery
1
3
100
80421
80421
Fam/Gen Practice (Inc Ob)(No Major Sur
1
3
100
80240
80240
Forensic/Legal Medicine (Except Psychia
1
3
100
80241
80241
Gastroenterology · No Surgery
1
3
100
80231
80135
General Preventive Medicine · No Surger
1
3
100
80243
80243
Geriatrics · No Surgery
1
3
100
80244
80244
Gynecology · No Surgery
1
3
100
80245
80245
Hematology · No Surgery
1
3
100
80222
80222
Hospitalist/House Staff
1
3
100
80232
80232
Hypnosis
1
3
100
80246
80246
Infectious Diseases · No Surgery
1
3
100
80283
80283
Intensive Care Medicine
1
3
100
80257
80257
Internal Medicine · No Surgery
1
3
100
80258
80258
Laryngology - No Surgery
1
3
100
80259
80259
Neoplastic Diseases · No Surgery
1
3
100
80260
80260
Nephrology · No Surgery
1
3
100
80299
80299
Neurology - incl child - No surgery - Pain
1
3
100
80261
80261
Neurology (Including Child) · No Surgery
1
3
100
80262
80262
Nuclear Medicine
1
3
100
80248
80248
Nutrition
1
3
100
80233
80233
Occupational Medicine
1
3
100
80263
80263
Ophthalmology · No Surgery
1
3
100
80264
80264
Otology - No surgery
1
3
100
80265
80265
Otorhinolaryngology · No Surgery
1
3
100
80266
80266
Pathology - No surgery
1
3
100
80267
80267
Pediatrics · No Surgery
1
3
100
80234
80234
Pharmacology - Clinical
1
3
100
80437
80437
Phys/Phys med/Rehabilitation(Inc Acupun
1
3
100
80235
80235
Physician Medicine and Rehabilitation
1
3
100
80268
80268
Physicians - N.O.C.· No Surgery
1
3
100
80236
80236
Public Health
1
3
100
80269
80269
Pulmonary Diseases · No Surgery
1
3
100
80425
80425
Radiology - Therapy
1
3
100
80253
80253
Radiology (Diagnostic) · No Surgery
1
3
100
80252
80252
Rheumatology · No Surgery
1
3
100
80247
80247
Rhinology - No Surgery
1
3
100
80304
80304
Urgent Care Med (No Hospital ER)
1
3
110
80166
80166
Abdominal Surgery
1
3
110
80141
80141
Cardiac - Surgery
1
3
110
80150
80150
Cardiovascular Disease - Surgery
1
3
110
80281
80281
Cardiovascular Disease · Minor Surgery
1
3
110
80282
80282
Cardiovascular Disease · Minor Surgery
1
3
110
80115
80115
Colon & Rectal-Surgery
1
3
110
80271
80271
Diabetes · Minor Surgery
1
3
110
80157
80157
Emergency Medicine - Inc. Major Surgery
1
3
110
80102
80102
Emergency Medicine (No Major Surgery)
1
3
110
80103
80103
Endocrinology - Surgery
1
3
110
80272
80272
Endocrinology · Minor Surgery
1
3
110
80117
80117
Family or General Practice - Surgery / No
1
3
110
80274
80274
Gastroenterology · Minor Surgery
1
3
110
80104
80104
Gastroenterology-Surgery
1
3
110
80143
80143
General Surgery - N.O.C
1
3
110
80276
80276
Geriatrics · Minor Surgery
1
3
110
80105
80105
Geriatrics-Surgery
1
3
110
80167
80167
Gynecology - Surgery
1
3
110
80277
80277
Gynecology · Minor Surgery
1
3
110
80169
80169
Hand &/or Foot - Surgery
1
3
110
80170
80170
Head & Neck Surgery
1
3
110
80278
80278
Hematology · Minor Surgery
1
3
110
80279
80279
Infectious Diseases · Minor Surgery
1
3
110
80284
80284
Internal Medicine · Minor Surgery
1
3
110
80285
80285
Laryngology - Minor Surgery
1
3
110
80106
80106
Laryngology - Surgery
1
3
110
80107
80107
Neoplastic Diseases - Surgery
1
3
110
80286
80286
Neoplastic Diseases · Minor Surgery
1
3
110
80108
80108
Nephrology - Surgery
1
3
110
80287
80287
Nephrology · Minor Surgery
1
3
110
80152
80152
Neurology ( including child) - Surgery
1
3
110
80288
80288
Neurology (Including Child) · Minor Surge
1
3
110
80168
80168
Obstetrics - Surgery
1
3
110
80153
80153
Obstetrics/gynecology - Surgery
1
3
110
80114
80114
Ophthalmology - Surgery
1
3
110
80289
80289
Ophthalmology · Minor Surgery
1
3
110
80154
80154
Orthopedic Surgery
1
3
110
80290
80290
Otology - Minor Surgery
1
3
110
80158
80158
Otology - Surgery
1
3
110
80291
80291
Otorhinolaryngology · Minor Surgery
1
3
110
80155
80155
Otorhinolaryngology · With Plastic - Surge
1
3
110
80159
80159
Otorhinolayngology - Major Surgery - No
1
3
110
80292
80292
Pathology - Minor surgery
1
3
110
80293
80293
Pediatrics · Minor Surgery
1
3
110
80294
80294
Physicians – This is a N.O.C. classificatio
1
3
110
80308
80301
Pulmonary Diseases · Minor Surgery
1
3
110
80449
80253
Radiology - Incl. Dye - minor surgery
1
3
110
80280
80280
Radiology (Diagnostic) · Minor Surgery
1
3
110
80270
80270
Rhinology - Minor surgery
1
3
110
80160
80160
Rhinology - Surgery
1
3
110
80156
80156
Surgeon - Plastic (N.O.C.)
1
3
110
80144
80144
Thoracic Surgery
1
3
110
80171
80171
Traumatic - Surgery (Not E.R.)
1
3
110
80145
80145
Urology - Surgery
1
3
110
80146
80146
Vascular - Surgery
1
3
121
80303
80303
Geneticist
1
3
121
80473
80473
IM-Oncology (No Surgery)
1
3
121
80269
80269
IM-Pulmonary (No Surgery)
1
3
121
80209
80209
Physical Medicine & Rehab (Major Proc)
1
3
121
80208
80208
Physical Medicine & Rehab (Minor Proc)
1
3
121
80208
80208
Physical Medicine & Rehab (Non-Invasive
1
3
121
80252
80252
Rheumatology · No Surgery
1
3
122
80422
80422
Cardiology (Left Heart Cath Only)
1
3
122
80443
80443
Colon&Rectal Surg(Min/Ltd)
1
3
122
80297
80297
Dermatology W/ Liposuction
1
3
122
80117
80117
FGP (With Obstetrics)
1
3
122
80273
80273
FP - Incl. deliveries
1
3
122
80143
80143
General Surgery (Minor Surgery)
1
3
122
80167
80167
Gynecology (w/ In-vitro Fertilization)
1
3
122
80154
80154
Orthopedic (Incl. Back)
1
3
122
80300
80294
Rheumatology · Minor Surgery
1
3
122
80116
80116
Surgical Specialty (Office,Min)
1
3
130
80249
80229
Psychiatry – including child
1
3
130
80250
80250
Psychoanalysis
1
3
130
80251
80251
Psychosomatic Medicine
1
3
130
80431
80431
Psychiatry - Incl Shock
1
3
130
80995
80995
Psychiatry - Extended
1
3
130
80998
Psychotherapy
1
3
NAIC Grp NAIC Comp Effective
Company
MIA Special
Company
Type of
Territory
Code
Code
Date
Name
Sort Code
MIA Code ISO Code Code
Description/Name of Class
Class Code
Code
Premium
200
70963
80964
Nurse- RN
2
1
200
70963
80964
Nurse - LPN
2
1
202
72201
80964
Nurse Practitioner - Class A - Employed
2
1
202
72201
80964
Nurse Practitioner - Class A - Self-Employed
2
1
202
72201
80964
Nurse Practitioner - Class B - Employed
2
1
202
72201
80964
Nurse Practitioner - Class B - Self-Employed
2
1
202
72201
80964
Nurse Practitioner - Class C - Employed
2
1
202
72201
80964
Nurse Practitioner - Class C - Self-Employed
2
1
202
72201
80964
Nurse Practitioner - Class D - Employed
2
1
202
72201
80964
Nurse Practitioner - Class D - Self-Employed
2
1
202
72999
72299
Nurse Practitioner (Prescribing)
2
1
202
80964
80964
Nurse Practitioner - Shared Limits
2
1
210
71401
80962
Nurse Midwife (Dir Spvs)
2
1
210
80962
80962
Nurse Midwife (Indir Spvs)
2
1
210
80962
80962
Nurse Midwife (Dir Spvs) - Shared Limits
2
1
210
80962
80962
Nurse Midwife (Indir Spvs) - Shared Limits
2
1
211
71402
71402
Nurse Midwife Assistant
2
1
215
80913
80913
Nurse Anesthetist (Spvs By Ane)
2
1
215
80960
80960
Nurse Anesthetist (Spvs By Sur)
2
1
216
71502
80452
Nurse Anesthetist (Spvs By Ane) - Shared Limi
2
1
216
80452
80452
Nurse Anesthetist (Spvs By Sur) - Shared Limit
2
1
219
79108
72203
Nurse Surgical / Assistant
2
1
230
80116
80116
Physician Assistant - Employed - Class 1
2
1
230
80116
80116
Physician Assistant - Employed - Class 2
2
1
230
80116
80116
Physician Assistant - Employed - Class 3
2
1
230
72998
72298
Physician's Assistant (Prescribing)
2
1
230
80129
80129
Physician's Assistant - Shared Limits
2
1
231
79101
80116
Physician Surgical Assistant
2
1
232
72205
80945
Perfusionist - Employed
2
1
260
71801
79801
Optometrist - self-employed
2
1
260
79801
79801
Optometrist - Employed
2
1
260
71801
71801
Optometry - Shared Limits
2
1
261
72001
59181
Pharmacist - self-employed
2
1
261
72003
59181
Pharmacist - employed
2
1
262
80410
80410
Chiropractor
2
1
264
80993
72301
Podiatrist (No Surgery)
2
1
264
80994
72303
Podiatrist (Maj or Min Surgery)
2
1
264
80950
80950
Podiatric Corporations - no surgery
2
1
264
80950
80950
Podiatric Corporations - surgery
2
1
270
72401
72401
Psychologist - Employed
2
1
500
89701
80211
Dentist - Not Otherwise Classified
3
1
501
89702
80211
Orthodontics (Local Anesthetics Only)
3
1
501
89703
80211
Pedodontist (Local Anesthetics Only)
3
1
501
89704
80211
Periodontist (Local Anesthetics Only)
3
1
501
89705
80211
Prosthodontist (Local Anesthetics)
3
1
501
89706
80211
Endodontics (Local Anesthetics Only)
3
1
501
89707
80210
Oral Pathologist
3
1
501
89708
80211
Public Health Dentist
3
1
501
89709
80211
Dentist - Not Oral Surgeon, Sedation
3
1
501
89710
80210
Oral Or Maxillofacial Surgeon
3
1
501
89711
80210
Dentist - Not Oral Surgeon, Anesthesia
3
1
501
89712
89712
Oral/Maxillofacial Surgeon (Hosp. , Surgi-cente
3
1
501
89713
89713
Specialists In Dental Anesthesia
3
1
501
80208
80208
Host Dentist
3
1
501
80209
80209
Implants (Incl. osseointegration)
3
1
501
80211
80211
Dental Pathologist
3
1
501
80211
80210
Temporomandibular Joint Specialist
3
1
502
89740
80210
Dental Hygienist
3
1
502
80964
80964
Nurse-Student Nurse
3
1
502
80964
80964
Nurse-Dental Assistant
3
1
600
80522
80522
Assisted Living Facility
4
1
600
80522
80522
Extended Congregate Care
4
1
600
80522
80522
Independent Living Facility
4
1
600
80923
80923
Rehabilitation
4
1
600
80923
80923
Skilled Nursing Facility
4
1
600
80923
80923
Intermediate Care Facility
4
1
600
80522
N/A
Resident Care - For Profit
4
1
600
80522
N/A
Resident Care - Not for Profit
4
1
600
80522
N/A
Independent Care - For Profit
4
1
600
80522
N/A
Independent Care - Not for Profit
4
1
600
80923
N/A
Skilled Care - For Profit
4
1
600
80923
N/A
Skilled Care - Not for Profit
4
1
600
80923
N/A
Intermediate Care - For Profit
4
1
600
80923
N/A
Intermediate Care - Not for Profit
4
1
600
80926
80926
Hospice For Profit - In-Patient Care - Per Licens
4
1
600
80926
80926
Hospice Not for Profit - In-Patient Care - Per Lic
4
1
600
80953
80953
Palliative Care - Non-Hospice Patients - Not for
4
1
600
80954
80954
Palliative Care - Non-Hospice Patients - For Pro
4
1
601
89648
N/A
Dialysis Center
4
1
601
89643
N/A
Surgicenter - Endoscopy
4
1
601
89644
N/A
Surgicenter - Eye Clinic
4
1
601
89646
N/A
Surgicenter - Urology
4
1
601
89645
N/A
Surgicenter - Multi - Specialty
4
1
602
80601
80601
Chemical Dependency & Rehabilitation Beds
4
1
602
80610
80610
ER Visits - Employed Physicians
4
1
602
80610
80610
ER Visits - Contracted Physicians
4
1
602
80610
80610
All Other Outpatient Visits
4
1
602
80611
80611
Acute Care Beds, Bassinets, Maternity Beds
4
1
602
80611
80611
Neo Natal Beds
4
1
602
80613
80613
Clinic Visits
4
1
602
80923
80923
Long Term Care Beds
4
1
602
80990
80990
Psychiatric Visits
4
1
602
80997
80997
Psychiatric Beds
4
1
602
89640
N/A
Inpatient Surgeries
4
1
602
89641
80453
Outpatient Surgeries
4
1
602
N/A
N/A
Births (Birthing Centers)
4
1
200
70963
80964
Nurse- RN
2
2
200
70963
80964
Nurse - LPN
2
2
202
72201
80964
Nurse Practitioner - Class A - Employed
2
2
202
72201
80964
Nurse Practitioner - Class A - Self-Employed
2
2
202
72201
80964
Nurse Practitioner - Class B - Employed
2
2
202
72201
80964
Nurse Practitioner - Class B - Self-Employed
2
2
202
72201
80964
Nurse Practitioner - Class C - Employed
2
2
202
72201
80964
Nurse Practitioner - Class C - Self-Employed
2
2
202
72201
80964
Nurse Practitioner - Class D - Employed
2
2
202
72201
80964
Nurse Practitioner - Class D - Self-Employed
2
2
202
72999
72299
Nurse Practitioner (Prescribing)
2
2
202
80964
80964
Nurse Practitioner - Shared Limits
2
2
210
71401
80962
Nurse Midwife (Dir Spvs)
2
2
210
80962
80962
Nurse Midwife (Indir Spvs)
2
2
210
80962
80962
Nurse Midwife (Dir Spvs) - Shared Limits
2
2
210
80962
80962
Nurse Midwife (Indir Spvs) - Shared Limits
2
2
211
71402
71402
Nurse Midwife Assistant
2
2
215
80913
80913
Nurse Anesthetist (Spvs By Ane)
2
2
215
80960
80960
Nurse Anesthetist (Spvs By Sur)
2
2
216
71502
80452
Nurse Anesthetist (Spvs By Ane) - Shared Limi
2
2
216
80452
80452
Nurse Anesthetist (Spvs By Sur) - Shared Limit
2
2
219
79108
72203
Nurse Surgical / Assistant
2
2
230
80116
80116
Physician Assistant - Employed - Class 1
2
2
230
80116
80116
Physician Assistant - Employed - Class 2
2
2
230
80116
80116
Physician Assistant - Employed - Class 3
2
2
230
72998
72298
Physician's Assistant (Prescribing)
2
2
230
80129
80129
Physician's Assistant - Shared Limits
2
2
231
79101
80116
Physician Surgical Assistant
2
2
232
72205
80945
Perfusionist - Employed
2
2
260
71801
79801
Optometrist - self-employed
2
2
260
79801
79801
Optometrist - Employed
2
2
260
71801
71801
Optometry - Shared Limits
2
2
261
72001
59181
Pharmacist - self-employed
2
2
261
72003
59181
Pharmacist - employed
2
2
262
80410
80410
Chiropractor
2
2
264
80993
72301
Podiatrist (No Surgery)
2
2
264
80994
72303
Podiatrist (Maj or Min Surgery)
2
2
264
80950
80950
Podiatric Corporations - no surgery
2
2
264
80950
80950
Podiatric Corporations - surgery
2
2
270
72401
72401
Psychologist - Employed
2
2
500
89701
80211
Dentist - Not Otherwise Classified
3
2
501
89702
80211
Orthodontics (Local Anesthetics Only)
3
2
501
89703
80211
Pedodontist (Local Anesthetics Only)
3
2
501
89704
80211
Periodontist (Local Anesthetics Only)
3
2
501
89705
80211
Prosthodontist (Local Anesthetics)
3
2
501
89706
80211
Endodontics (Local Anesthetics Only)
3
2
501
89707
80210
Oral Pathologist
3
2
501
89708
80211
Public Health Dentist
3
2
501
89709
80211
Dentist - Not Oral Surgeon, Sedation
3
2
501
89710
80210
Oral Or Maxillofacial Surgeon
3
2
501
89711
80210
Dentist - Not Oral Surgeon, Anesthesia
3
2
501
89712
89712
Oral/Maxillofacial Surgeon (Hosp. , Surgi-cente
3
2
501
89713
89713
Specialists In Dental Anesthesia
3
2
501
80208
80208
Host Dentist
3
2
501
80209
80209
Implants (Incl. osseointegration)
3
2
501
80211
80211
Dental Pathologist
3
2
501
80211
80210
Temporomandibular Joint Specialist
3
2
502
89740
80210
Dental Hygienist
3
2
502
80964
80964
Nurse-Student Nurse
3
2
502
80964
80964
Nurse-Dental Assistant
3
2
600
80522
80522
Assisted Living Facility
4
2
600
80522
80522
Extended Congregate Care
4
2
600
80522
80522
Independent Living Facility
4
2
600
80923
80923
Rehabilitation
4
2
600
80923
80923
Skilled Nursing Facility
4
2
600
80923
80923
Intermediate Care Facility
4
2
600
80522
N/A
Resident Care - For Profit
4
2
600
80522
N/A
Resident Care - Not for Profit
4
2
600
80522
N/A
Independent Care - For Profit
4
2
600
80522
N/A
Independent Care - Not for Profit
4
2
600
80923
N/A
Skilled Care - For Profit
4
2
600
80923
N/A
Skilled Care - Not for Profit
4
2
600
80923
N/A
Intermediate Care - For Profit
4
2
600
80923
N/A
Intermediate Care - Not for Profit
4
2
600
80926
80926
Hospice For Profit - In-Patient Care - Per Licens
4
2
600
80926
80926
Hospice Not for Profit - In-Patient Care - Per Lic
4
2
600
80953
80953
Palliative Care - Non-Hospice Patients - Not for
4
2
600
80954
80954
Palliative Care - Non-Hospice Patients - For Pro
4
2
601
89648
N/A
Dialysis Center
4
2
601
89643
N/A
Surgicenter - Endoscopy
4
2
601
89644
N/A
Surgicenter - Eye Clinic
4
2
601
89646
N/A
Surgicenter - Urology
4
2
601
89645
N/A
Surgicenter - Multi - Specialty
4
2
602
80601
80601
Chemical Dependency & Rehabilitation Beds
4
2
602
80610
80610
ER Visits - Employed Physicians
4
2
602
80610
80610
ER Visits - Contracted Physicians
4
2
602
80610
80610
All Other Outpatient Visits
4
2
602
80611
80611
Acute Care Beds, Bassinets, Maternity Beds
4
2
602
80611
80611
Neo Natal Beds
4
2
602
80613
80613
Clinic Visits
4
2
602
80923
80923
Long Term Care Beds
4
2
602
80990
80990
Psychiatric Visits
4
2
602
80997
80997
Psychiatric Beds
4
2
602
89640
N/A
Inpatient Surgeries
4
2
602
89641
80453
Outpatient Surgeries
4
2
602
N/A
N/A
Births (Birthing Centers)
4
2
200
70963
80964
Nurse- RN
2
3
200
70963
80964
Nurse - LPN
2
3
202
72201
80964
Nurse Practitioner - Class A - Employed
2
3
202
72201
80964
Nurse Practitioner - Class A - Self-Employed
2
3
202
72201
80964
Nurse Practitioner - Class B - Employed
2
3
202
72201
80964
Nurse Practitioner - Class B - Self-Employed
2
3
202
72201
80964
Nurse Practitioner - Class C - Employed
2
3
202
72201
80964
Nurse Practitioner - Class C - Self-Employed
2
3
202
72201
80964
Nurse Practitioner - Class D - Employed
2
3
202
72201
80964
Nurse Practitioner - Class D - Self-Employed
2
3
202
72999
72299
Nurse Practitioner (Prescribing)
2
3
202
80964
80964
Nurse Practitioner - Shared Limits
2
3
210
71401
80962
Nurse Midwife (Dir Spvs)
2
3
210
80962
80962
Nurse Midwife (Indir Spvs)
2
3
210
80962
80962
Nurse Midwife (Dir Spvs) - Shared Limits
2
3
210
80962
80962
Nurse Midwife (Indir Spvs) - Shared Limits
2
3
211
71402
71402
Nurse Midwife Assistant
2
3
215
80913
80913
Nurse Anesthetist (Spvs By Ane)
2
3
215
80960
80960
Nurse Anesthetist (Spvs By Sur)
2
3
216
71502
80452
Nurse Anesthetist (Spvs By Ane) - Shared Limi
2
3
216
80452
80452
Nurse Anesthetist (Spvs By Sur) - Shared Limit
2
3
219
79108
72203
Nurse Surgical / Assistant
2
3
230
80116
80116
Physician Assistant - Employed - Class 1
2
3
230
80116
80116
Physician Assistant - Employed - Class 2
2
3
230
80116
80116
Physician Assistant - Employed - Class 3
2
3
230
72998
72298
Physician's Assistant (Prescribing)
2
3
230
80129
80129
Physician's Assistant - Shared Limits
2
3
231
79101
80116
Physician Surgical Assistant
2
3
232
72205
80945
Perfusionist - Employed
2
3
260
71801
79801
Optometrist - self-employed
2
3
260
79801
79801
Optometrist - Employed
2
3
260
71801
71801
Optometry - Shared Limits
2
3
261
72001
59181
Pharmacist - self-employed
2
3
261
72003
59181
Pharmacist - employed
2
3
262
80410
80410
Chiropractor
2
3
264
80993
72301
Podiatrist (No Surgery)
2
3
264
80994
72303
Podiatrist (Maj or Min Surgery)
2
3
264
80950
80950
Podiatric Corporations - no surgery
2
3
264
80950
80950
Podiatric Corporations - surgery
2
3
270
72401
72401
Psychologist - Employed
2
3
500
89701
80211
Dentist - Not Otherwise Classified
3
3
501
89702
80211
Orthodontics (Local Anesthetics Only)
3
3
501
89703
80211
Pedodontist (Local Anesthetics Only)
3
3
501
89704
80211
Periodontist (Local Anesthetics Only)
3
3
501
89705
80211
Prosthodontist (Local Anesthetics)
3
3
501
89706
80211
Endodontics (Local Anesthetics Only)
3
3
501
89707
80210
Oral Pathologist
3
3
501
89708
80211
Public Health Dentist
3
3
501
89709
80211
Dentist - Not Oral Surgeon, Sedation
3
3
501
89710
80210
Oral Or Maxillofacial Surgeon
3
3
501
89711
80210
Dentist - Not Oral Surgeon, Anesthesia
3
3
501
89712
89712
Oral/Maxillofacial Surgeon (Hosp. , Surgi-cente
3
3
501
89713
89713
Specialists In Dental Anesthesia
3
3
501
80208
80208
Host Dentist
3
3
501
80209
80209
Implants (Incl. osseointegration)
3
3
501
80211
80211
Dental Pathologist
3
3
501
80211
80210
Temporomandibular Joint Specialist
3
3
502
89740
80210
Dental Hygienist
3
3
502
80964
80964
Nurse-Student Nurse
3
3
502
80964
80964
Nurse-Dental Assistant
3
3
600
80522
80522
Assisted Living Facility
4
3
600
80522
80522
Extended Congregate Care
4
3
600
80522
80522
Independent Living Facility
4
3
600
80923
80923
Rehabilitation
4
3
600
80923
80923
Skilled Nursing Facility
4
3
600
80923
80923
Intermediate Care Facility
4
3
600
80522
N/A
Resident Care - For Profit
4
3
600
80522
N/A
Resident Care - Not for Profit
4
3
600
80522
N/A
Independent Care - For Profit
4
3
600
80522
N/A
Independent Care - Not for Profit
4
3
600
80923
N/A
Skilled Care - For Profit
4
3
600
80923
N/A
Skilled Care - Not for Profit
4
3
600
80923
N/A
Intermediate Care - For Profit
4
3
600
80923
N/A
Intermediate Care - Not for Profit
4
3
600
80926
80926
Hospice For Profit - In-Patient Care - Per Licens
4
3
600
80926
80926
Hospice Not for Profit - In-Patient Care - Per Lic
4
3
600
80953
80953
Palliative Care - Non-Hospice Patients - Not for
4
3
600
80954
80954
Palliative Care - Non-Hospice Patients - For Pro
4
3
601
89648
N/A
Dialysis Center
4
3
601
89643
N/A
Surgicenter - Endoscopy
4
3
601
89644
N/A
Surgicenter - Eye Clinic
4
3
601
89646
N/A
Surgicenter - Urology
4
3
601
89645
N/A
Surgicenter - Multi - Specialty
4
3
602
80601
80601
Chemical Dependency & Rehabilitation Beds
4
3
602
80610
80610
ER Visits - Employed Physicians
4
3
602
80610
80610
ER Visits - Contracted Physicians
4
3
602
80610
80610
All Other Outpatient Visits
4
3
602
80611
80611
Acute Care Beds, Bassinets, Maternity Beds
4
3
602
80611
80611
Neo Natal Beds
4
3
602
80613
80613
Clinic Visits
4
3
602
80923
80923
Long Term Care Beds
4
3
602
80990
80990
Psychiatric Visits
4
3
602
80997
80997
Psychiatric Beds
4
3
602
89640
N/A
Inpatient Surgeries
4
3
602
89641
80453
Outpatient Surgeries
4
3
602
N/A
N/A
Births (Birthing Centers)
4
3
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Administrative Medicine
Aerospace Medicine
Allergy/Immunology
Anesthesiology
Anesthesiology - All Other
Broncho-Esophagology
Cardiovascular Disease · No Surgery
Dermatology
Dermatology · No Surgery
Diabetes · No Surgery
Endocrinology · No Surgery
Fam/Gen Prac (No Ob) · Minor Surg
Fam/Gen Prac(No Ob) · No Surgery
Fam/Gen Practice (Inc Ob)(No Major Surg)
Forensic/Legal Medicine (Except Psychiatry)
Gastroenterology · No Surgery
General Preventive Medicine · No Surgery
Geriatrics · No Surgery
Gynecology · No Surgery
Hematology · No Surgery
Hospitalist/House Staff
Hypnosis
Infectious Diseases · No Surgery
Intensive Care Medicine
Internal Medicine · No Surgery
Laryngology - No Surgery
Neoplastic Diseases · No Surgery
Nephrology · No Surgery
Neurology - incl child - No surgery - Pain Mgmt
Neurology (Including Child) · No Surgery
Nuclear Medicine
Nutrition
Occupational Medicine
Ophthalmology · No Surgery
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Otology - No surgery
Otorhinolaryngology · No Surgery
Pathology - No surgery
Pediatrics · No Surgery
Pharmacology - Clinical
Phys/Phys med/Rehabilitation(Inc Acupuncture)
Physician Medicine and Rehabilitation
Physicians - N.O.C.· No Surgery
Public Health
Pulmonary Diseases · No Surgery
Radiology - Therapy
Radiology (Diagnostic) · No Surgery
Rheumatology · No Surgery
Rhinology - No Surgery
Urgent Care Med (No Hospital ER)
Abdominal Surgery
Cardiac - Surgery
Cardiovascular Disease - Surgery
Cardiovascular Disease · Minor Surgery
Cardiovascular Disease · Minor Surgery
Colon & Rectal-Surgery
Diabetes · Minor Surgery
Emergency Medicine - Inc. Major Surgery
Emergency Medicine (No Major Surgery)
Endocrinology - Surgery
Endocrinology · Minor Surgery
Family or General Practice - Surgery / No OB
Gastroenterology · Minor Surgery
Gastroenterology-Surgery
General Surgery - N.O.C
Geriatrics · Minor Surgery
Geriatrics-Surgery
Gynecology - Surgery
Gynecology · Minor Surgery
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Hand &/or Foot - Surgery
Head & Neck Surgery
Hematology · Minor Surgery
Infectious Diseases · Minor Surgery
Internal Medicine · Minor Surgery
Laryngology - Minor Surgery
Laryngology - Surgery
Neoplastic Diseases - Surgery
Neoplastic Diseases · Minor Surgery
Nephrology - Surgery
Nephrology · Minor Surgery
Neurology ( including child) - Surgery
Neurology (Including Child) · Minor Surgery
Obstetrics - Surgery
Obstetrics/gynecology - Surgery
Ophthalmology - Surgery
Ophthalmology · Minor Surgery
Orthopedic Surgery
Otology - Minor Surgery
Otology - Surgery
Otorhinolaryngology · Minor Surgery
Otorhinolaryngology · With Plastic - Surgery
Otorhinolayngology - Major Surgery - No Plastic
Pathology - Minor surgery
Pediatrics · Minor Surgery
Physicians – This is a N.O.C. classification
Pulmonary Diseases · Minor Surgery
Radiology - Incl. Dye - minor surgery
Radiology (Diagnostic) · Minor Surgery
Rhinology - Minor surgery
Rhinology - Surgery
Surgeon - Plastic (N.O.C.)
Thoracic Surgery
Traumatic - Surgery (Not E.R.)
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Urology - Surgery
Vascular - Surgery
Geneticist
IM-Oncology (No Surgery)
IM-Pulmonary (No Surgery)
Physical Medicine & Rehab (Major Proc)
Physical Medicine & Rehab (Minor Proc)
Physical Medicine & Rehab (Non-Invasive)
Rheumatology · No Surgery
Cardiology (Left Heart Cath Only)
Colon&Rectal Surg(Min/Ltd)
Dermatology W/ Liposuction
FGP (With Obstetrics)
FP - Incl. deliveries
General Surgery (Minor Surgery)
Gynecology (w/ In-vitro Fertilization)
Orthopedic (Incl. Back)
Rheumatology · Minor Surgery
Surgical Specialty (Office,Min)
Psychiatry – including child
Psychoanalysis
Psychosomatic Medicine
Psychiatry - Incl Shock
Psychiatry - Extended
Psychotherapy
Nurse- RN
Nurse - LPN
Nurse Practitioner - Class A - Employed
Nurse Practitioner - Class A - Self-Employed
Nurse Practitioner - Class B - Employed
Nurse Practitioner - Class B - Self-Employed
Nurse Practitioner - Class C - Employed
Nurse Practitioner - Class C - Self-Employed
Nurse Practitioner - Class D - Employed
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Nurse Practitioner - Class D - Self-Employed
Nurse Practitioner (Prescribing)
Nurse Practitioner - Shared Limits
Nurse Midwife (Dir Spvs)
Nurse Midwife (Indir Spvs)
Nurse Midwife (Dir Spvs) - Shared Limits
Nurse Midwife (Indir Spvs) - Shared Limits
Nurse Midwife Assistant
Nurse Anesthetist (Spvs By Ane)
Nurse Anesthetist (Spvs By Sur)
Nurse Anesthetist (Spvs By Ane) - Shared Limits
Nurse Anesthetist (Spvs By Sur) - Shared Limits
Nurse Surgical / Assistant
Physician Assistant - Employed - Class 1
Physician Assistant - Employed - Class 2
Physician Assistant - Employed - Class 3
Physician's Assistant (Prescribing)
Physician's Assistant - Shared Limits
Physician Surgical Assistant
Perfusionist - Employed
Optometrist - self-employed
Optometrist - Employed
Optometry - Shared Limits
Pharmacist - self-employed
Pharmacist - employed
Chiropractor
Podiatrist (No Surgery)
Podiatrist (Maj or Min Surgery)
Podiatric Corporations - no surgery
Podiatric Corporations - surgery
Psychologist - Employed
Dentist - Not Otherwise Classified
Orthodontics (Local Anesthetics Only)
Pedodontist (Local Anesthetics Only)
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Periodontist (Local Anesthetics Only)
Prosthodontist (Local Anesthetics)
Endodontics (Local Anesthetics Only)
Oral Pathologist
Public Health Dentist
Dentist - Not Oral Surgeon, Sedation
Oral Or Maxillofacial Surgeon
Dentist - Not Oral Surgeon, Anesthesia
Oral/Maxillofacial Surgeon (Hosp. , Surgi-center)
Specialists In Dental Anesthesia
Host Dentist
Implants (Incl. osseointegration)
Dental Pathologist
Temporomandibular Joint Specialist
Dental Hygienist
Nurse-Student Nurse
Nurse-Dental Assistant
Assisted Living Facility
Extended Congregate Care
Independent Living Facility
Rehabilitation
Skilled Nursing Facility
Intermediate Care Facility
Resident Care - For Profit
Resident Care - Not for Profit
Independent Care - For Profit
Independent Care - Not for Profit
Skilled Care - For Profit
Skilled Care - Not for Profit
Intermediate Care - For Profit
Intermediate Care - Not for Profit
Hospice For Profit - In-Patient Care - Per Licensed Bed
Hospice Not for Profit - In-Patient Care - Per Licensed Bed
Palliative Care - Non-Hospice Patients - Not for Profit - Per patient visit
Risk
Company
Accepts Business
Purchasing
Name
SPECIALTY
NEW
RENEWAL
Group
Palliative Care - Non-Hospice Patients - For Profit - Per patient visit
Dialysis Center
Surgicenter - Endoscopy
Surgicenter - Eye Clinic
Surgicenter - Urology
Surgicenter - Multi - Specialty
Chemical Dependency & Rehabilitation Beds
ER Visits - Employed Physicians
ER Visits - Contracted Physicians
All Other Outpatient Visits
Acute Care Beds, Bassinets, Maternity Beds
Neo Natal Beds
Clinic Visits
Long Term Care Beds
Psychiatric Visits
Psychiatric Beds
Inpatient Surgeries
Outpatient Surgeries
Births (Birthing Centers)
CONTACT
Company Name as you would like to be
NAME
shown on the rate guide
Address 1
Address 2
City, State Zip
Contact name
Contact name
800 number for insureds to call website name for insureds and others
phone number
fax number
contact email
for assistance/questions
to visit to obtain info