Claims paid insurance

• US 20050060207A1
• Filed: 07/07/2004
• Published: 03/17/2005
• Est. Priority Date: 05/08/2001
• Status: Abandoned Application

• Current Assignee: Cooperative of American Physicians Incorporated
• Original Assignee: Cooperative of American Physicians Incorporated
• Inventors: Weidner, James L., Preimesberger, David, Kezirian, A. Peter Jr.
• Application Number:
  US10/885,234
• Publication Number:
  US 20050060207A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A system, method, and device for indemnifying an insured party in a claims paid insurance policy. A premium allocation module determines a claims paid insurance premium for the insured party and a database module charges the premium to the account of the insured party. A policy operations module obligates the insured party to pay the assessed premium without an opportunity to cancel the policy after assessment. Although the insurer defends a claim against the insured party, the insurer is not responsible for the indemnity liability until the claim is resolved.

Claims

1. A method for insuring a property or casualty loss of a party with a claims paid insurance policy, the method comprising:

determining a claims paid insurance premium for the insured party;

charging the premium to the insured party;

obligating the insured party to pay the premium without an opportunity to cancel the policy;

receiving payment of the premium from the insured party; and

assuming liability for a claim against the insured party responsive to the claim being resolved.

2. The method of claim 1, wherein determining a claims paid insurance premium further comprises:

evaluating a cost object model to forecast expenditures based on claims asserted against a group of insured parties;

calculating an overall premium for the group of insured parties from the forecasted expenditures; and

allocating a portion of the overall premium to the insured party.

3. The method of claim 2, wherein allocating a portion of the overall premium further comprises:

applying, to the allocated portion, an adjustment factor based at least upon risk relativity, risk maturity, geographic, or policy-specific risk experience.

4. The method of claim 1, further comprising:

receiving, from the insured party, a request for renewal of the claims paid insurance policy; and

granting the request for renewal subject to the determining of the claims paid insurance premium.

5. The method of claim 1, further comprising:

performing a risk review of the insured party;

canceling the claims paid insurance policy of the insured party responsive to the risk review; and

providing tail coverage to the insured party for an open claim.

6. The method of claim 1, further comprising:

defending the claim against the insured party.

7. The method of claim 1, wherein the insured party is indemnified for a loss due to at least one of professional liability, medical professional liability, property liability, and casualty liability.

8. A method for providing a claims paid insurance product, the method comprising:

evaluating a risk pool object model to identify collective risk for a group of entities;

evaluating a cost object model to forecast expenditures based on claims asserted against the group of entities; and

generating a risk analysis for evaluating a reserve funding amount based on the risk pool object model and the cost object model.

9. A system for insuring a property or casualty loss of a party with a claims paid insurance policy, the system comprising:

a premium allocation module configured to determine a claims paid insurance premium for the insured party;

a database module configured to charge the premium to the insured party; and

a policy operations module operatively coupled to the database module and configured to obligate the insured party to pay the premium without an opportunity to cancel the policy, and configured to receive payment of the premium from the insured party, and further configured to assume liability for a claim against the insured party responsive to the claim being resolved.

10. The system of claim 9, further comprising:

a cost module configured to evaluate a cost object model to forecast expenditures based on claims asserted against a group of insured parties; and

a risk pool module configured to calculate an overall premium for the group of insured parties from the forecasted expenditures;

wherein the premium allocation module is further configured to allocate a portion of the overall premium to the insured party.

11. The system of claim 10, wherein the premium allocation module is further configured to apply, to the allocated portion, an adjustment factor based at least upon risk relativity, risk maturity, geographic, or policy-specific risk experience.

12. The system of claim 9, wherein the policy operations module is further configured to receive, from the insured party, a request for renewal of the claims paid insurance policy and to grant the request for renewal subject to the determining of the claims paid insurance premium.

13. The system of claim 9, wherein the policy operations module is further configured to perform a risk review of the insured party, cancel the claims paid insurance policy of the insured party responsive to the risk review, and provide tail coverage to the insured party for an open claim.

14. The system of claim 9, wherein the insured party is indemnified for a loss due to at least one of professional liability, medical professional liability, property liability, and casualty liability.

15. A computing device for modeling a claims paid insurance product, the computing device comprising:

a risk pool module configured to identify collective risk for a group of entities;

a cost module configured to forecast expenditures based on claims asserted against the group of entities; and

a risk analysis module operatively coupled to the risk pool module and the cost module and configured to evaluate a reserve funding amount.