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Best Malpractice Insurance Options for Anaesthesiology Practice Owners

  • Writer: Nate Jones, CPCU, ARM, CLCS, AU
    Nate Jones, CPCU, ARM, CLCS, AU
  • Jan 20
  • 2 min read

Choosing the right malpractice coverage is one of the most important decisions an anaesthesiology practice owner can make. Because anaesthesiology is a high‑risk speciality, not all malpractice policies offer the same level of protection. Understanding the best malpractice insurance options for anaesthesiology practice owners helps ensure your practice, providers, and personal assets are fully protected.


Best Malpractice Insurance Options for Anaesthesiology Practice Owners

1. Occurrence vs. Claims‑Made Coverage

One of the first choices practice owners must make is policy structure.

Occurrence policies provide coverage for incidents that happen during the policy period, regardless of when a claim is filed. These policies tend to cost more upfront but eliminate the need for tail coverage.

Claims‑made policies cover claims only if the policy is active when the claim is filed. They usually offer lower initial premiums but require tail coverage when a provider leaves a practice or retires.


2. Individual Coverage for Practice Owners

Many anaesthesiology practice owners maintain individual malpractice insurance even when covered by a group policy. Individual coverage ensures personal protection if you:

  • Change practices

  • Work at multiple facilities

  • Supervise CRNAs or AAs

  • Perform higher‑risk procedures

This option provides flexibility and portability throughout your career.


3. Group Malpractice Insurance for Multi‑Provider Practices

Group malpractice insurance is commonly used by anaesthesia groups covering:

  • Multiple anaesthesiologists

  • Hospital‑based teams

  • Ambulatory surgery centre providers

Group policies can be cost‑effective and simplify administration, though practice owners should ensure coverage limits are sufficient and not overly shared between providers.


4. Tail Coverage and Extended Reporting Options

Tail coverage is critical for anaesthesiology practices using claims‑made policies. Owners should ensure employment agreements specify who pays for tail coverage and whether coverage applies at retirement, termination, or sale of the practice.


5. Practice‑Specific Risk Customisation

The best malpractice insurance options adjust for:

  • Sub-Specialities (cardiac, pediatric, OBGYN, neuro)

  • Case volume and acuity

  • Supervision requirements

  • Facility mix

Generic malpractice policies often fail to account for these nuances.


Work With a Specialist Who Understands Anaesthesiology

Finding the best malpractice insurance requires working with an agency that understands anaesthesia‑specific risk. Wexford Insurance partners with national carriers specialising in anaesthesiology malpractice insurance, helping practice owners compare options, manage costs, and avoid coverage gaps.


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