PROPERTY AND CASUALTY

• Hospital Professional Liability
• General Liability
• Umbrella Liability
• Medical Malpractice Coverage for Physicians
• Workers' Compensation Programs - Insured and Self-Funded
• Third Party Administration for Workers' Compensation
• Managed Care Services for Occupational Health
• Provider Network for Occupational Health
• Utilization Review
• Property and Auto Coverages
• Fiduciary Liability
• Directors and Officers Liability
• Employment Practices Liability
• Crime and Fidelity Coverages
• Errors and Omissions
• Surety Bonds

EMPLOYEE BENEFITS

• Health and Dental Plans - Insured and Self-Funded
• Managed Care
• Preferred Provider Networks
• Cafeteria and Traditional Plan Design
• Flexible Spending Accounts
• Vision
• Plan Administration
• Group Life Insurance
• Accidental Death and Dismemberment
• Long Term and Short Term Disability
• Voluntary Employee-Paid Plans
• Employee Communication
• Strategic Benefits and Funding Analysis
• Competitive Market and Renewal Analysis
• Interim Medical Insurance
• Retirement Programs

Specialty Services

Workers' Compensation Services
Coverage Options Associates^® (COA) assures high quality, cost effective Workers' Compensation claims handling, managed care, provider network, and related services. Our services may be purchased as a package, or we will customize to meet your needs.

Third Party Administration

• COA has successfully administered workers' compensation claims since 1990.
• Our staff of fully licensed adjusters and claims processors has nearly 50 years of experience.
• We routinely participate in continued education and state-sponsored workshops.
• COA conducts annual risk management and workers' comp seminars for members of KHA.
• We provide periodic reports and visits to support your workers' compensation program.

Coverage Options Associate's WorkComp Network
Medical treatment is provided by a network of physicians, practitioners, hospitals and other facilities specializing in the treatment of work-related illnesses and injuries. All COA/WorkComp Network providers meet our strict standards of quality and efficiency to ensure that care is timely and appropriate. A primary care physician along with our medical management staff coordinates care. Our statewide provider network gives you the ability to direct employees to our providers throughout the state.

Features of Work Comp Network

• COA/WorkComp Network is a certified managed care organization focusing on reducing employer costs for workers' compensation.
• COA/WorkComp Network is certified in all 120 counties in the state of KY.
• Our cost containment services include intervening in the early stages of a claim; assuring that all costs are necessary and appropriate; and promoting return to work as soon as possible.
• Our medical management staff consists of registered nurses with expertise in occupational injury management, and we have a Board Certified physician on staff. A review panel of Board Certified physicians assists in the medical management process.

  Services Include:

• Medical Case Management
• Utilization Review
• Medical Bill Auditing
• 24 Hour, Toll Free Phone Access
• Preferred Provider Network
• Electronic Transmittal of First Reports and Medical Bills to the State
• Comprehensive Reports
• Training for Employers, Employees, and Providers in our Network
• Grievance Procedures

COA/WorkComp Network Medical Management

• Case management by certified case managers and registered nurses trained in occupational medicine
• Medical bill repricing and auditing services
• State of the art information system allowing for customized practice parameters
• Licensed private review agency offering a full range of utilization review services

• Statewide network experienced in occupational health care
• Established provider service standards
• Continuing education for providers focusing on occupational medicine and workers' compensation issues
• Fully trained provider office staffs

• Electronic SF-1 reporting
• Electronic medical bill reporting

Let us show you the COA/WorkComp Network advantage.

For additional information and a proposal, please call or email:
Darrell Trent
502-426-6220
800-945-4542

Kentucky Hospital Insurance Program (KHIP)/Kentucky Program for Professional, General and Umbrella Liability
20 Years of Growth and Experience

In 1978, many Kentucky hospitals joined together as a trust, with assistance from KHA to purchase professional and general liability coverage. Since that time, the trust operated successfully and the goals of the participating Kentucky facilities for the future have remained unchanged. In October 1997, the Trust was merged with The Virginia Insurance Reciprocal (TVIR), an A (Excellent) A.M. Best-rated insurer specializing in professional, general, umbrella, managed care organization liability and workers' compensation insurance. As of January 1, 2003, a captive was formed to insure the professional and general liability for Kentucky hospitals. This program is governed by the members.

Why You Need to Consider the KHIP

Program highlights include:

• Governed and owned by Kentucky member hospitals
• Installment plan available
• Coverage provided is comprehensive
• All profits owned by the participating hospitals
• Captive keeps only the first $250,000 of risk and reinsures all liability in excess of $250,000
• COA provides administrative and risk management expertise to all participating members

Coverages Available

• Hospital Professional Liability
• Commercial General Liability
• Umbrella and Excess Liability

What coverage features will I have?

• First dollar, deductible, and self-insurance options
• 90 days automatic coverage for newly acquired organizations.
• Risk management education programs
• Coverage for hospitals, clinics, ambulatory surgery centers, rehabilitation organizations, home health agencies, employed physicians, and more...
• Professional liability coverage for loading and unloading patients from motor vehicles or aircraft
• Students and volunteers are covered by both professional and general liability
• Defense costs ouside limits
• Personal and advertising injury liability
• Loss or damage to patient's property up to $1,000
• Employee benefits liability available
• Medical payments
• Fire Legal Liability coverage

For additional information and a proposal, please call or email:
Darrell Trent
502-426-6220
800-945-4542

Coverage Options Associates^® administers and markets KHIP for professional, general and umbrella liability. COA employs risk management professionals to provide consultative services to insured health care facilities.

Variety of services are offered, including:

• Departmental Surveys
• On-site Educational Programs
• Regional Educations Programs
• Telephone Consultation
• Lending Library

Our risk management consultants will call to schedule a visit to your facility at least once a year (twice if the facility is insured for both professional liability and workers' compensation). You may choose the focus of the visit from our menu of services. Additional visits may be scheduled based on need.

DEPARTMENTAL SURVEYS

Our risk management consultants will come on-site to survey high-risk departments. Our goal is to assist your facility in complying with state and federal regulations, as well as standards of professional organizations and private accrediting bodies.

The following department surveys include, but are not limited to:

• Emergency
• Obstetrics
• Anesthesia
• Surgery
• Risk Management
• On and Off-site Clinics
• Home Health Care
• Medical Staff Credentialing
• Medical Records
• Psychiatric
• Medical/Surgical
• Oncology

EDUCATIONAL OFFERINGS

COA will provide on-site educational offerings for all staff and independent contractors affiliated with your organization. Programs offering recommendations to promote safe practice and minimize professional liability exposures are provided.

The Kentucky Board of Nursing has approved Coverage Options Associates^® as a provider of continuing education credits for nurses.

VIDEOTAPE LOANER LIBRARY

COA maintains a videotape loaner library for use by our insured facilities. A listing of titles can be sent for review at your request. You can reserve a videotape for 10 days by calling the risk management department.

QUICK RESOURCE FOR RISK MANAGEMENT ISSUES

Fiduciary Liability
With the enactment of the Employee Retirement Income Security Act (ERISA) in 1974, fiduciaries assumed new responsibilities relating to the management and administration of employee benefit plans. ERISA mandated that fiduciaries may be personally liable for breach of certain responsibilities or duties imposed upon them under the law. Today, there is a greater need than ever for Fiduciary Liability Insurance.

Could this happen to you?

• Trustees of a hospital's pension plan were accused of failing to inform the employees of the penalties for withdrawing from the annuity plan or the excessive surrender charge on the life insurance policy. Loss: $72,000
• A health plan trustee allegedly did not monitor the performance of its third-party administrator (TPA) and retianed the company despite its inadequate performance. Loss: $230,000
• A healthcare organization and the trustees of its retirement plan allegedly failed to adequately investigate the propriety of purchasing individual life insurance policies as investments. Loss: $236,000.

How can you protect yourself?

Since 1974, we have been meeting the needs of fiduciaries of hospital and other healthcare organizations. Get the protection you need with Coverage Options Associates^®.

Physicians Professional Liabilty Professional liability insurance is a critical component of every physician's practice, whether independant or group-based. This coverage must be competitive, comprehensive, and secure. Coverage Options Associates TM offers extensive experience, industry expertise and ongoing support in designing professional liability coverage to meet each physician's needs and expectations.

Please Call or Email Darrell Trent:
502-426-6220
800-945-4542

Design, Implement, and Administer...
A health plan for your employees and their families

Presenting the COA^®/TrustCare^SM Advantage

With an effective benefit plan design, a significant amount of the plan's claim dollars will be spent in your own facility.

Coverage Options Associates^® has assembled the best professionals available to support COA^®/TrustCare^SM. They are there to guide you and your staff in designing, implementing and administering a self-funded health program for your employees and their families.

• COA^®/TrustCare^SM is overseen by a Board of Directors consisting of representatives from participating hospitals.
• A team of professionals from Coverage Options Associates ^SM will assist you in all phases of your program.
• A third party administrator handles claims and employee inquiries. They provide management reports, actuarial services and medical case management.
• Our stop-loss carriers are stable, highly rated insurance companies who specialize in specific and aggregate stop-loss, also called reinsurance, for employer-sponsored self-funded health benefit plans.

• Since self-funded plans are governed by ERISA, plan benefits can be designed by you, the employer, to satisfy the needs of your work force. Benefits do not need to be tied to state government mandates or state health reform.
• The COA^®/TrustCare^SM Team is an addition to your staff, assisting with plan design, implementation and administration of your program.
• Furthermore, the cost of the plan is minimized with self-funding. Giving you:
  • Greater cash flow
  • Reduced expenses
  • Retained reserves

  Arrange to receive an implementation schedule and a proposal today.

  Once we have basic information about your plan experience and participants, an account executive will provide the analysis you need.

Flexible Spending Accounts
One method many employers have used to package their benefit program is sometimes referred to as the flex approach or cafeteria benefits.

This is a communications device which can lend continuity and serve as a platform for growth and change.

As a first step in benefit planning, we encourage employers to define their goals and objectives for the program overall. For example, the primary goal may be to compete in a tight label market, therefore offering every benefit from medical to retirement, or another employer may want to meet only the basic needs of employees to prevent financial ruin in the event of an illness, injury, disability or death.

Next, determine how much of the budget can be allocated to employee benefits. Then determine the following:

• How will the Program be communicated?
• How will it be administered internally?
• When is the best time to implement the new plan?
• Who will be covered? Full-time only? Part-time? If so, how many hours qualifies as part-time?
• Will cash be an option?
• Is a 401(k) plan appropriate?
• Will there be an annual open enrollment?

Important Features of the Plan

Employee Contributions

• Pre-tax Dollars
• Elections once each year unless there is a qualified change in family status
• Use it or Lose it Rule

Employer Contributions

• Re-distribute existing contributions

Create dollars by re-arranging benefit plans:

• Cost Containment Features
• Higher employee out-of-pocket
• Any combination

Choices

• Basic Benefits (Medical, Dental, Life)
• Voluntary, Supplemental Benefits (Disability, Life, Dependent Life, and Specific Disease Plans)
• Flexible Spending Accounts
  • Unreimbursed Medical Expenses
  • Work-Related Dependent Care
• 401(k) Plan
• Cash