managed care coverage endorsement
An endorsement to a fiduciary liability policy providing coverage for bodily
injury, property damage, and personal injury when they result from administering
managed care health plans. This endorsement is necessary because fiduciary liability
policies usually exclude coverage for these perils. However, because managed
care plans are subject to ERISA, such coverage is necessary. The two most common
claims involving managed care plans allege that (1) the employer-sponsor of
a managed health care plan negligently selected the managed health care plan
provider, and (2) that the employer-sponsor of a managed health care plan wrongly
denied or delayed medical benefits provided by the plan.
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PLI XII.E