You usually learn of a
case when a summons is served. Most commonly this would be to your
office, but it could be to your home. In addition, you may learn
first when a plaintiff's attorney calls your carrier to discuss
it in hopes of some settlement. He may also write a letter to you
or the carrier with the same purpose. These latter two efforts usually
fall on barren ground, but they do pre-warn of a filing weeks and
more likely months in advance.
If a case comes to your attention, first notify your carrier and
case manager, if you have one. Then, recheck your policy once more
to be sure you understand the coverage and that it is in force.
Furthermore, be certain your umbrella carrier is also notified if
you have been served. They often have a narrow window for notification
in order for the policy to be in force. It would be wise to check
once they have been notified, that they have both received and registered
the case. You should have documentation of the notification.
Service of a summons
and other documents is complex matter with a number of details
that can be critical to you. Of course, this varies from state
to state, and possibly even within the state based on case
law. Prior to service the case must be filed, and there is
a statute of limitations, which is often 2 and a half years
from the last date on which the patient was seen for treatment
of the problem at issue. This date is not 100% absolute, and
can be extended by a judge in some jurisdictions. In addition,
it is required that a summons be delivered within a specified
time after filing, often 120 days. This could also be extended
under some circumstances by a judge. Finally, the service
must be proper following certain rules, and could be invalid
if the wrong person is served, for example. Always the details
matter greatly, and we have provided you more information
in the inner pages. And there are several points at which
the suit can be dropped
or voided, so be sure to be aware of them.
What will be served? It will likely be a summons, which states
whom the case is against. Who is named may affect your coverage
vulnerability depending on how the insurance is written. If it is
a physician owner of the practice, or a member of the practice company
this can be different than for an employee of the practice. If you
are an owner and are sued, this can make you more vulnerability
to exceed your coverage as both policies may be the same pool of
money. This is not likely true for an employee. Usually there is
a complaint which contains more details. Probably a bill of particulars
will come at a later date, which tries to set out in significant
detail the plaintiff’s case. It's necessary to respond to
these within a given time, which your attorney will do with your
help.
Who will your attorney be? The attorney is usually assigned by
the insurance company, and in principle, you should be able to influence
this decision as long as the attorney is one they have on their
rolls. A meeting early on is very worthwhile to gauge the case,
each other, and the working relationship. As you get further down
the road change could become more awkward.
It would be common to have a case manager assigned at this point
by your insurance company. The case manager is key, and will be
representing you at internal discussions in the insurance company.
This person is also coordinating an internal review of your case,
which may define how they view you. And it is possible the case
manager will be handling much or all of any settlement negotiations
if one occurs. It is wise to get to know this person well, and a
meeting is worthwhile, early on.
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