Professional Liability / E&O · Calculator, Comparison & Guide

Medical Malpractice Insurance: Calculator, Comparison Table & Guide

Texas remains one of the lower-cost malpractice states after 2003 tort reform. Specialty and county drive the rate.

Prong 1 · Interactive Calculator

Physician Malpractice Estimator (Texas)

Texas remains one of the lower-cost malpractice states after 2003 tort reform. Specialty and county drive the rate.

Claims-made premiums step up over 5 years to mature.

Results
LineEstimate
Mature annual premium
Claims-made step factor
Loss-experience factor
Part-time factor
Estimated annual premium
Estimated tail (ERP) cost if you leaveTail typically 150%–200% of mature premium; free tail on death, disability, retirement after 5 yrs with many carriers.

Illustrative math only. Rate ranges are planning bands, not quotes. Your policy wording, carrier appetite, loss history, and state decide the real number. This tool stores nothing and sends nothing.

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Prong 2 · Comparison Table

Malpractice Policy Types

Claims-made vs. occurrence vs. employer-provided.

CriterionClaims-MadeOccurrenceEmployer / Hospital Program
TriggerClaim reported during policyIncident during policyVaries (usually claims-made)
Tail needed at exitYesExcludedOften — check for 'free tail' terms
Early-year costLowestHighestIncluded in comp
Consent to settleUsualUsualRare — hospital decides
Covers moonlightingExcludedExcludedExcluded
PortableWith prior-actsIncludedExcluded
Best fitEstablished practiceRetiring within 5 yrsEmployed physicians
Included
covered in base form
Excluded
not available
Optional
available by endorsement
Limited
sublimited or conditional

Prong 3 · Deep-Dive Guide

Medical Malpractice in Texas & Florida: Limits, Tails, and Tort Reform

What the 2003 caps mean for your limits, why tail is your biggest hidden cost, and how employed physicians get trapped.

Texas tort reform (HB 4, 2003)

Non-economic damages are capped at $250K per defendant (up to $750K total). Economic damages are uncapped.

  • $200K/$600K is common; $1M/$3M for hospital privileges
  • Texas Medical Liability Trust and several carriers compete for Texas physicians
  • Florida has no effective cap; $250K/$750K or $1M/$3M is common and premiums run 2–4×

Claims-made and tail

Most physician policies are claims-made. Leaving means buying tail or securing prior-acts (nose) coverage from the new carrier.

  • Tail = 150%–200% of mature premium, one-time
  • Free tail after 5 years on retirement, death, or disability with many carriers
  • Negotiate tail in any employment agreement — who pays?

Employed physicians

Hospital-provided coverage usually lacks consent-to-settle and ends when employment ends.

  • Ask whether the hospital pays tail on termination
  • Confirm limits and whether they're shared
  • Consider a personal 'gap' policy for moonlighting and licensing defense

Frequently Asked Questions

What is a 'consent to settle' clause?

Your right to refuse a settlement that would be reported to the NPDB against you. Essential for physicians.

Does malpractice cover a medical board complaint?

Only with a licensing/regulatory defense sublimit, typically $25K–$100K. Ask for it.

Do NPs and PAs need their own policy?

Yes, in most cases. Entity policies often cover them vicariously but not for licensing or if they moonlight.

Related: medical malpractice insurance Texas · physician professional liability · MPL · surgeon malpractice

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The Smart Intake takes about two minutes. A licensed advisor reviews your medical malpractice exposure against 30+ Texas and Florida markets. Nothing from the calculator above is stored or sent.

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Or call (281) 671-0069

All numeric rates are 2026 Texas/Florida planning bands compiled by the agency for illustration; they are not filed rates and must be reviewed by a licensed agent before publication. Coverage descriptions are summaries only and are subject to the terms, conditions, and exclusions of the actual policy. Submitting a request does not bind coverage.