IRONHEALTH CONTACT
To Contact the IRONHEALTH team, please click below:
Contact Directory

GENERAL CONTACT

For general inquiries:
tel (646) 826 6600
toll free (877) IRON411
fax (646) 826 6601

EMAIL US

IronShore

LATEST ONPOINT ARTICLES
IronShore

REGIONAL OFFICES

IronHealth

IronHealth® products combine Ironshore's industry-leading underwriting capabilities with progressive solutions for the unique liability issues within the healthcare community. We plan for an environment of ever-changing, complex liability exposures and, as a result, are able to offer comprehensive coverage with increased customization and greater stability. Our centralized operations, staffed with highly skilled, dedicated professionals, ensure prompt, consistent decision-making and quality services.
Hospital Professional Liability
Risk management dollars" for insureds can be allocated toward the purchase of risk management products and services from the providers of their choice. We don't require that "in-house" resources be used or that only select vendors can be selected. Instead, we acknowledge that our insureds know best what their needs are and may already have existing vendor relationships in place to meet those needs. To help stretch these dollars, IronHealth has proactively established relationships with some of the industry's leading Healthcare Risk Management providers.

Currently, our preferred partners and their offerings include...

  • Limits $25M capacity (primary and/or excess)

Physician Group Practice Liability
As the business of healthcare delivery has evolved, physician group practices have developed significant exposures that are no longer adequately served by traditional physician professional liability (PL) products. As a result, Ironshore has created an upgraded product – combining outstanding PL coverage with enterprise risk management in the form of additional liability coverages that can help protect the assets of the group. Claims-made coverage is available for groups of 10 or more physicians. Primary, excess (including excess of captives or SIRs), and reinsurance of captives and other retention vehicles limits are available.
  • Primary policy limits of $1M/$3M ($2M/$6M available upon request)
  • Excess limits available up to $15M

Long Term Care Professional Liability
Tailored coverage, exceptional security and effective risk management solutions for not-for-profit and for-profit long term care entities in all states. Claims – made or occurrence coverage is available on a primary and/or excess basis.
  • Limits $1M /$3M primary
  • Limits $10M excess

Managed Care Errors & Omissions Liability
IronHealth products cover the full range of managed care organizations. We understand and have expertise in underwriting not only the large traditional managed care organizations such as HMOs and PPOs, but also the myriad of other organizations which provide managed care services including IPAs, PHOs, UROs, MSOs, TPAs, PROs, QIOs, CVOs, care management and disease management companies, and healthcare consultants.
  • Limits $25M (primary and/or excess)
  • Directors & Officers Liability coverage is available to our E&O insureds

Pharmaceutical & Medical Devices
(Life Sciences Practice)
IronHealth Products Liability Insurance and Commercial General Liability Insurance policies are available for established and emerging companies in the Life Sciences industry including those involved in pharmaceutical, biotechnological and medical device manufacturing. We offer flexible options, which allow us to adapt to this fast-paced and rapidly changing field. We have an experienced underwriting team and provide a broad geographic footprint with offices in San Francisco, Chicago, Dallas and Boston.
  • Limits $10M in Excess Capacity; coverage for human clinical trials, true worldwide coverage and professional errors and omission coverage for on-staff sales personnel and medical professionals

Custom Accounts and Asset Protection Solutions
Not every insured is looking for standard, traditional risk transfer options. Some may require a creative solution not easily found. Our Custom Account Facility specializes in non-traditional risk transfer solutions and in developing ways to address a specific need that other carriers cannot or won't consider. Examples of solutions include, but are not limited to:
  • Options to purchase insurance coverage or additional limits at a later date at preset terms, including potential coverage for existing claims
  • Swing-rated, or "loss sensitive" arrangements
  • Stop loss coverage for an insured's self-insured retention
  • Fronting arrangements
  • Loss portfolio transfers

Miscellaneous Medical Facilities
Miscellaneous Healthcare Facility business is underwritten on an open brokerage basis. Minimum premium for primary limits will be $5,000; limits available up to $25M for larger organizations on a primary or excess basis and coverage will be available to more than 75 classes and sub-classes of business. In addition, the product will be written on an E&S basis. Submissions can be sent to ironhealthsubs@ironshore.com.
Government Billing E&O
Government audits of healthcare contracts and billing practices have increased significantly the last several years. Last year alone, federal prosecutors pursued 1,621 healthcare fraud criminal investigations involving 2,706 defendants negotiating $1.63 billion in judgments or settlements plus almost $3 billion in payments to Medicare and Medicaid.

In response to these increased government practices as well as the difficulty that frequently accompanies the prediction of billing errors and exposures, Ironshore has developed a Government Billing E&O policy option. This IronHealth product. provides brokers and their clients with a cost-effective alternative to a significant and potentially catastrophic risk. There are a multitude of benefits to this policy including:
  • Coverage for defense, as well as fines, penalties and settlements
  • Clients are also able to exercise full coverage options for errors and omissions associated with government audit events after the occurrence of a covered event.
MMSEA Exposure Solutions
A first of its kind policy providing protection from the complex requirements of MMSEA (The Medicare, Medicaid and SCHIP Extension Act) Section 111 and MSPA reporting and compliance. This customized product addresses the risk and penalties from failing to file, or negligent filing, as well as providing coverage for Medicare billing errors and certain other expenses incurred in connection with an insured's obligations under the MMSEA and MSPA.

Product Highlights:
  • Liability for third-party bodily injury caused by a reporting error under Section 111
  • Civil fines and penalties for failure to file, or improper filing, of reports under Section 111
  • Medicare Secondary Payer Act liability
  • Medicare billing error liability
  • Public Relations Expense Reimbursement coverage
  • Personal Information Protection Expense Reimbursement coverage
  • Medical Payments Expense Reimbursement coverage
  • Other policy features including coverage offered on a claims-made basis, broad definition of "insured" including Named Insured, Employees, Volunteers, Members of Board of Directors, Board of Trustees or Committee Members, defense expense included within limit of liability, primary policy limits of $1M per claim/$3M aggregate higher primary limits (up to $5M per claim and in the aggregate) are available, coverage is written on a Surplus Lines basis through Ironshore Specialty Insurance Company.
Loss Portfolio Transfer
Hospital systems, long-term care facilities, physician groups and other healthcare organizations utilize a variety of methods to self-insure all or a portion of their own PL risk. Given the current economic climate, there may be a strong incentive for these organizations to free up capital through a "Loss Portfolio Transfer" (LPT). An LPT Plus is a simple financial mechanism that allows an organization to monetize excess reserves from prior years and return them to its bottom line or dividend them to its owners. Under an LPT Plus, Ironshore will assume 100% of the organization's future liabilities of those past years, relieving the organization from those liabilities; this allows the organization to "clean up" its balance sheet, and improve its financial strength and stability.

  • No LPT Plus is too small or too large to be considered – Ironshore has considered LPTs ranging from a single claim to many hundreds of claims.
  • Ironshore and Transfer or agree on acceptable aggregate cap on overall transferred liability.
  • Flexibility in determining claims to be transferred or retained - Transfer or may opt to retain one or more claims because it is more efficient to run the claim(s) off itself than transfer to Ironshore.
  • Flexibility in who handles the transferred claims, Ironshore or existing TPA.
  • Non-binding indications available with current comprehensive loss runs and detailed description of limits/policy years to be included in LPT Plus.
Adverse Health Survey Reimbursement Policy
Nursing home operators are committed to providing the highest quality care possible for their patients, but at times there are lapses that create serious issues for all involved. The impact of an adverse Health Survey can be devastating not only in terms of a facility's reputation, but also the impact to the bottom line as the operator scrambles to develop a mandatory Plan of Correction in response to the survey. In today's economic environment, skilled nursing facility budgets often don't have the flexibility to absorb these added costs. IronHealth has developed the Adverse Survey Expense Reimbursement Policy which provides the resources needed to respond. This new product is available only as a companion policy to IronHealth's Professional and General Liability product and pro­vides the following coverage features:

  • Separate Limits for Adverse Health Survey Expenses - $25,000 per location
  • First Dollar coverage
  • Low minimum premiums starting at $1,825
  • Assists Administrators in achieving Substantial Compliance in timely, professional manner
  • Covers out of pocket costs associated with responding to adverse Health Surveys for Skilled Nursing facilities receiving deficiencies at Scope and Severity of G or higher, including tags related to sub standard care
  • Covered costs may include Professional Consultation to prepare Plans of Correction, preparation for Informal Dispute Resolution, development of Letters of Removal for Immediate Jeopardy citations, Legal Counsel and Training Assistance
  • All insureds receive a Survey Preparation and Response kit
  • Professional Consultation services provided by Pendulum, LLC
Federally Qualified Health Centers
Grant-Supported Federally Qualified Health Centers are public and private not- for profit health care organizations that meet certain criteria under the Medicare and Medicaid Programs of the Social Security Act and receive grant monies under the Health Center Program (Section 330 of the Public Health Service Act). Under the Federally Supported Health Centers Assistance Act of 1992 and 1995, eligible health cen­ters are afforded protection under the Federal Tort Claims Act (FTCA) for their alleged acts or omissions related to medical malpractice. Following an annual application process, "deemed" entities, their employees as well as certain other individuals identified by the statute, are covered under the FTCA. The intent of the Health Center Medical Malpractice Program is to increase the availability of funds for the Health Centers, expand access to quality health care and increase the number of patients served and at the same time eliminate the costs associated with buying malpractice insurance. All general liability exposures are excluded as well as any new services or activities that the health center has engaged in since the deeming application was submitted and approved. Until those activities and ser­vices have been deemed and therefore subject to FTCA coverage, private insurance should be purchased for the medical malpractice exposure created by the new services. In response to this need, IronHealth has developed a policy form to address the potential gaps in coverage with the following features:

  • Professional Liability/General Liability "wrap around" coverage
  • Coverage available for deemed and non deemed services and activities
  • Primary and excess limits available (up to $25M)
  • $25K sub-limit for Personal Injury Protection Reimbursement Coverage
  • Risk Management dollars available
  • Separate limits available for employed medical practitioners
  • Coverage provided for volunteers and part time dentists