Custom Coverage Solutions

Doctors examining an x-ray report in hospital

ISMIE offers coverage solutions for many situations that may arise during the course of your career. These coverage alternatives apply if you are enrolled in ISMIE's Physician, Clinic Option, or Partnership/Corporation Professional Liability coverage programs.

Custom solutions can be requested by contacting ISMIE:


Toll Free at 800-782-4767
Fax at 312-782-2023
Email to

Required forms may also be downloaded from the Underwriting Forms and Applications section on this website or requested from ISMIE at the above contact information.

Suspended Coverage

At some point in your career, you may wish to take a one- to 12-month leave from your practice. Reasons may include maternity leave, illness, travel or completing a fellowship. To accommodate your needs, ISMIE offers suspended coverage.

During the time your policy is on suspended coverage, no coverage is afforded for direct patient care on your part, and your premiums are reduced by 75 percent. If your absence is due to illness, a letter from your treating physician will be necessary prior to reestablishing coverage for your return to active practice.

Coverage for Employed Non-Physician Health Professionals (application form)

Many non-physician health professionals (such as lab technicians, office nurses and X-ray technicians) are covered by your policy at no additional charge.

Certain other categories of non-physician health professionals do require a separate premium charge. Coverage is available on a shared or separate limit basis for the following: Certified Nurse Midwives, Certified Registered Nurse Anesthetists, Physician Assistants, Advanced Practice Nurses, and psychologists. Coverage is also available on a separate limits basis for Podiatrists, Pharmacists, Chiropractors, Dentists, and Optometrists. 

Locum Tenens Coverage (application form)

If you are insured with ISMIE, locum tenens coverage is available when the substituting physician is insured elsewhere, or carries insurance that would not cover him or her for the activity. Locum tenens coverage is available for up to 90 days within one policy period, except for emergency medicine physicians who are limited to a maximum of 30 days. There is no charge for the first 30 days.

Part-Time Physician Coverage (application form)

ISMIE offers reduced rates for physicians who limit their practice time. Each request is considered on an individual basis. After demonstrating a part-time practice through number of hours, patient volume, number of days scheduled or  activities insured elsewhere, physicians may qualify for a reduction in rates. Individual physicians whose "average weekly practice time" is not more than 21 hours per week may qualify for a 40 percent premium reduction.

If you would like to be considered for part-time rating, simply complete and sign the Part-Time Rating Application and return it to Underwriting with the required supporting documentation.

Resident Physician Coverage

If you are a resident physician, and licensed to practice outside your residency program, you may be eligible for a special discounted premium rate. If you moonlight 10 hours or less per week, you may qualify for a 72.5 percent reduction in your quarterly premium. If you moonlight between 11 and 21 hours per week, you may receive a 40 percent reduction in your quarterly premium.

Retired Physician Coverage

If you are completely retired from practice, you may qualify for special discounts for retired physicians. For example, if you seek coverage only for the occasional treatment of relatives and friends, without remuneration, you may be eligible for an 80 percent reduction in your quarterly premium.

In addition, we will offer free retirement tail to any physician at any age as long as he or she has been insured with ISMIE for 10 consecutive years. We will also offer free retirement tail to physicians who have been insured with ISMIE for a minimum of five consecutive years and who are at least age 55.

Free Medical Clinic Coverage

We also offer special, enhanced coverage to physicians who plan to provide care without remuneration in a free medical clinic. The coverage is available for a nominal annual premium and includes free tail coverage (reporting endorsement) when the policy is canceled. This special coverage is not necessary if you already maintain an active ISMIE policy.

Higher Limits Available

ISMIE can secure higher policy limits for partnerships, medical corporations and clinics/groups as necessary. In many cases, a partnership, corporation or clinic/group is at greater risk because of its greater assets. These entities have a substantial capital investment in property, medical equipment, laboratory equipment and computers.

ISMIE will work with our policyholders to customize higher limits on an as-needed basis. Our underwriting flexibility allows us to create a policy that is designed to meet the specific needs of each policyholder. An underwriter would be happy to answer any questions you have regarding higher limits. Please contact us at 800-782-4767, by fax at 312-782-2023 or by email at