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Hospitals face some of the most complex and consequential insurance exposures in the commercial insurance market. A single adverse event can generate claims that exceed what most standard commercial policies are designed to handle. Getting the program structure right — before a claim happens — is everything. Centurion Insurance Services works with hospitals and health systems across the country to design and manage comprehensive professional liability programs. We bring independent, carrier-agnostic expertise to one of the most consequential purchasing decisions your organization makes.
Conditions change daily in the energy and manufacturing industries. Factors including economic demand, global trading markets, government regulations and political climates create volatility. Although we cannot control the possibilities afforded by these changes, we can control how we respond to them. Centurion understands the realities of these fluctuating conditions and how to help your business respond.
One of the best responses to volatility is advocacy – having an insurance team who will help you navigate an ever-changing landscape. Our team members dig deep to understand our client partners and their business needs. We pair our expertise with knowledge of your business to create innovative insurance solutions for each client. Most importantly, Centurion will be there to support your company when you need us.

Hospitals face professional liability claims arising from virtually every department and service line. The most significant exposures include:
Physician and nursing professional liability — errors, omissions, and negligence in direct patient care
Emergency department liability — high-volume, high-acuity environment with significant claims
frequency
Surgical and procedural liability — wrong-site surgery, anesthesia complications, and post-
surgical outcomes
Credentialing liability — failure to properly credential or monitor physicians with privileges
Labor and delivery — among the highest-severity claim categories in hospital liability
Premises and general liability — patient falls, visitor injuries, property damage
Directors and officers — board decisions, regulatory matters, and governance disputes
Employment practices liability — wrongful termination, harassment, discrimination
Cyber liability — HIPAA breaches, ransomware, and electronic health record exposure
Hospital professional liability can be structured in several ways depending on size, claims history, risk tolerance, and financial capacity.
Traditional carrier-provided coverage. Appropriate for community hospitals, critical access hospitals, and smaller health systems that prefer to transfer risk entirely.
Larger health systems often use captive insurance arrangements to finance a portion of their risk, reduce premium costs, and gain more direct control over claims management.
Some hospitals retain risk up to a defined retention level and purchase excess coverage above that threshold.
Regardless of your primary program structure, adequate excess limits are essential. Hospital claims can reach into the tens of millions of dollars. We evaluate all of these approaches and help your organization determine the structure that best fits your risk profile and financial strategy.
One of the most significant — and frequently overlooked — hospital liability exposures is credentialing. If a hospital grants privileges to a physician who subsequently causes patient harm, and that physician had red flags in their background that a proper credentialing process would have identified, the hospital can face direct liability. Credentialing liability coverage protects hospitals against claims arising from the credentialing process itself. We make sure this coverage is explicitly addressed in every hospital program we design.

This varies significantly based on bed count, service lines, location, and historical claims experience. A proper limits analysis should be performed — not assumed from industry averages.
Hospitals typically cover employed physicians under the hospital’s policy. Independent physicians with privileges are generally required to carry their own coverage. The interaction between these two programs — including who defends whom in a joint claim — should be clearly understood before a claim occurs.
The same principles that apply to physician coverage apply here. Most hospital professional liability programs are written on a claims-made basis, which creates tail coverage obligations when programs change.
Yes. Critical access hospitals have distinct coverage needs and often qualify for different carrier programs than larger acute care facilities. We have experience working with CAHs nationwide.
Contact us at 304.993.8393 or reach out online. Hospital insurance programs require a detailed submission — we’ll guide you through the information-gathering process step by step.
Contact Centurion Insurance Services to begin your hospital liability program review.
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