Q. How can I get evidence of my OMIC coverage for my hospitals?
A. Include on your application any organizations, and their complete addresses, for which you need evidence of coverage. Should you need proof of coverage at any other time, you can submit your request online. Or, you may fax, email, call, or mail us the necessary information. We will send the requested certificate of insurance to your hospital with a copy to you.
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Q. Can I also get proof of my claims experience?
A. Yes, OMIC can provide you or your hospital with verification of your claims activity, provided we have your express permission to release this information. Because OMIC encourages its policyholders to report all potential incidents on a precautionary basis, we do not release any information regarding pending claims, including whether any such claims have been reported. OMIC reports claim information only for claims that have closed with an indemnity payment or actual lawsuits filed. The claim history report will reflect all such matters ever reported to OMIC. Information within the claim history report includes the claim number, incident date, report date, case type (claim or suit), status (open or closed), and whether indemnity has been paid (yes or no).
Q. How long does it take to get a certificate of insurance or loss history?
A. We can generally fulfill most fax or phone requests within 48 hours although we recommend that you allow one to two weeks for processing. Written requests may take a minimum of two weeks to process due to the volume of requests received directly from hospitals.
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Q. Does OMIC charge a fee for this service?
A. As a policyholder benefit, certificates of insurance and claim histories are provided free of charge for current insureds and for former insureds whose coverage terminated within the preceding 12 months. OMIC charges a processing fee of $25 for certificates and claim histories issued on behalf of former insureds whose coverage has been terminated for more than 12 months.
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Q. Is a copy of my declarations page sufficient evidence of coverage?
A. Although some hospitals accept Declarations pages, your best and safest option is to send them a certificate of insurance. A certificate of insurance will generally provide the hospital with all the information it needs: your name, policy number, retroactive date, policy effective and expiration dates, and limits of liability. The Declarations page often contains additional information that the hospital does not need or should not have, such as the cost of your insurance and the names of other physicians insured under your policy. By issuing a certificate of insurance, we can also notify the hospital promptly of any material changes in or termination of your coverage. Likewise, we will see that the hospital receives confirmation of your policy's renewal each year.
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Q. Will my hospital accept my OMIC coverage?
A. Nearly all hospitals and other health care organizations recognize OMIC as an acceptable insurance company; however, the bylaws of some facilities require as a condition of eligibility that physicians maintain coverage with particular types of insurance carriers.
If there is any question as to OMIC's acceptability, we will be happy to provide your hospital with detailed financial and other information to help them assess us. In most circumstances, the supplemental information we provide, including our favorable rating from A. M. Best Company, is sufficient to "approve" our coverage.
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