State Volunteer Mutual Insurance Company, the Tennessee medical malpractice insurer owned by the doctors themselves, has had another profitable year even with its significant rate decrease.

The company, which insures about 75% of the doctors in the state, has announced the following financial results and other data for the year ending December 31, 2011:

  • Net income – $28,012,000.
  • Policyholder’s Surplus (equivalent to net worth): $436,424,000
  • 2011 Dividend – $20,100,000
  • Total Dividends paid during company existence – $300,000,000
  • Rate of return on investments – 5.3%
  • Average decrease in premiums over last 3 years – 31%  (mature, base premiums)
  • Insured physicians – 14, 476

The gross premiums written have decreased since 2007 for two reasons. First, SVMIC has lost almost 1600 doctors as clients during that period.  Second, rates have declined substantially during that period.  The combination of the two factors has resulted in a decreased of gross premium written of a little over $90,000,000.  Profits remain high because investment income has remained about the same (actually, it is a little higher) and net paid loss and loss adjustment expenses have increased only about 5% in five years.  Surplus during the 5 year period has increased over 80% despite payment (through premium credits) of $48,000,000.

Forbes recently published a fascinating article about Steve Susman’s thoughts on saving money in litigation. 

The article reports that Susman has launched a website called "Trial by Agreement" that "provides a sort of 0pen-source repository of pre-trial agreements that lawyers can use to reduce the often needless expense of electronic discovery, depositions and tit-for-tat motions."

The "Trial by Agreement" website has form pretrial agreements and trial agreements that lawyers can use in their own cases.  Here is a list of the proposed pretrial agreements:

Robert Ambrogi has shared the existence of a fascinating service concerning expert witnesses.

The service, called Expert Witness Profiler, checks into the expert’s background, testimonial history, social media profile, and more.  Here is what the profile includes:

  • Testimonial history.
  • Challenge (Daubert/Frye) history.
  • Disciplinary history.
  • Licensing and certifications (including verification).
  • Educational background (including verification).
  • Professional background.
  • Associations and memberships.
  • Personal information.
  • Publications.
  • Teaching and research.
  • Patents, trademarks, and copyrights.
  • References in news, blogs and social media.

Purchasers of the profile receive a booklet covering the items listed above. Hyperlinks within the document take you to relevant cases, orders, and other documents. The service will also include transcripts, motions and briefs relating to the expert or to challenges to the expert.  The company’s website includes this sample profile.

Insurance Journal reports that the parents of a child born with cystic fibrosis sued various Montana  health care providers,  saying that had they known of the genetic disorder they would have terminated the pregnancy.

Cystic fibrosis causes sticky mucus buildup in the lungs and other organs, leading to infections, digestive problems and death in young adulthood. The typical life expectancy is about 37 years, according to the Cystic Fibrosis Foundation.

The couple alleges that genetic testing the mother underwent in the first trimester failed to explore whether the child was likely to have cystic fibrosis. The parents would have terminated the pregnancy because they claim they were not emotionally or financially equipped to care for a child with that illness.

I have a column that bears the same name as this blog that appears three times per year in the Tennessee Bar Journal. The January 2012 edition of the publication includes the column, this time titled “Retailers Escape Responsibility for Dangerous Foreign-Made Products.” 

The column addresses one provision of the poorly-named Tennessee Civil Justice Act of 2011 that limits the responsibility of those who sell unreasonably dangerous or defective products. The column is available at no charge by clicking on the link.

 

Paul Luvera has a nice article on his Plaintiff Trial Lawyer Tips blog that discusses virtual focus groups.

He mentions three different services that lawyers can use to test their cases: Virtual Jury.com; Trial Juries, and eJury.com. eJury has a sample case presentation available for review that includes not only a sample verdict form but also a list of questions that call for narrative answers from the jurors.

Does anyone use these services? Virtual Jury’s client list is impressive to say the least.

Two recent cases from the Alabama Supreme Court hold that a parent may bring a wrongful death lawsuit on behalf of a stillborn child that was incapable of life outside the womb.

In Hamilton v. Scott, No. 1100192 (Ala. Feb. 17, 2012, Amy Hamilton alleged that several defendants negligently caused the death of the child she was carrying in utero. After discovery, defendant moved to dismiss, arguing that Alabama law required that the fetus had to viable outside the womb before the mother could maintain a wrongful death lawsuit.   The case was dismissed.

The Alabama Supreme Court reversed, citing the recent decision in Mack v. Carmack, No. 1091040 (Ala. Sept. 9, 2011) that raised the same issue. This is the holding in Mack, re-affirmed in Hamilton:

State Volunteer Mutual Insurance Company, the professional liability insurance company owned by doctors, has once again lowered the cost of insurance paid by Tennessee doctors.

Some highlights:

  • The rate revision represents an overall rate decrease of 8.4% at limits of $1,000,000 / $3,000,000.  This results in an average per physican rate decrease of 7.5%.
  • Rates for limits in excess of $2,000,000 have dropped 7.5%
  • A year earlier, the rate decrease was 23.1%.  In 2009 rates dropped 2.5% on average and in 2008 the decrease was 4.2%
  • a $20.1 million dollar dividend credit has been issued for policies renewing during the twelve months beginning May 15, 2011.  This has the effect of reducing rates over 5 percent.
  • The dividend for 2010 was also $20 million.  Thus, in the last two years rates have dropped over 30% and $40 million in dividends have been paid.
  • The total dividends returned to policy holders now totals $300 million in the past 35 years.
  • Rates for allergists dropped the most, down 20.6% at the $1M level.
  • Rates for OB / GYNs dropped 16.8% at the $1M level.
  • Rates increased at the $1M level only for ER docs – up 1/8%.  The dividend will still result in a net decrease in premiums for ER doctors.

So how much do doctors pay for insurance, before getting the dividend and other credits that they earn for group discounts, risk management credits, etc.?  (All rates are claims made, 5th year, at $1M / $3M)

" Sleep Tight, Don’t Let the Bed Bugs Bite – The Impact of Bed Bugs on Our Daily and Legal Lives" is the new go-to resource on bed bug litigation.  David E. Cassidy and others wrote this article for the Fall 2011 edition of FDCC Quarterly published by the Federation of Defense and Corporate Counsel.

The Introduction gives us this summary of the rest of the article:

Part II provides an overview of how bed bugs have re-entered our society and outlines information that everyone should know about this pest. Part III explains the history and biology of bed bugs. Part IV highlights how bed bugs have impacted the hotel industry and addresses how to keep the workplace safe to keep productivity up and liability claims down. Part V provides an overview of the growing field of bed bug litigation. Part VI discusses the relevant statutes and regulations that impact employers and protect employees from bed bugs in the workplace environment.

Subject to several exceptions, the Tennessee Supreme Court has the right to choose what cases it will hear.  A T.R.A.P. Rule 11 petition is filed when one seeks permission to appeal a case to the Tennessee Supreme Court.

In the year ending June 30, 2011, 888 Rule 11 petitions were filed and only 61 were granted.  Of those 61 cases, the Court actually heard 52 of the cases.  The other 9 cases were immediately remanded for evaluation by a lower court.

Thus, the chance of the Tennessee Supreme Court actually accepting a Rule 11 application (or remanding the case for evaluation by a lower court) is about 1 in 14. 

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