THE APPLICABLE LIMITS OF LIABILITY AND ARE SUBJECT TO THE RETENTIONS 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with the 'Organizational Information' section. Fill in your Applicant Name, Years in Business, Principal Address, and Primary Business Activity. Ensure all fields are completed accurately.
  3. Proceed to the compliance-related questions. Answer whether there have been any changes to your Medical Billings or Chief Compliance Officer, and provide details if applicable.
  4. In the 'Billing Procedures' section, specify who performs government-funded healthcare program billing and indicate if any billing is done by a third party. Include relevant percentages and names as required.
  5. Complete the 'Coverage Information' section by detailing current limits, retentions, and premiums. Make sure to check for any specific instructions related to your state.
  6. Finally, review all sections for completeness before signing. Ensure that all necessary attachments are included as specified in the application.

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The words retention and deductible are often used interchangeably. Both terms refer to the sum of money that the insured is responsible for in the event of a covered claim.
The retention may be by way of retention of cash or by a more complex mechanism. In the context of insurance, this is also known as an excess, and is a part of the relevant liability which the insured party agrees to pay before the insurer will meet the relevant claim.
A self-insured retention is a dollar amount specified in a liability insurance policy that must be paid by the insured before the insurance policy will respond to a loss.
Retained Limits are the financial thresholds that must be met by the insured before an insurance policy begins to pay for a claim. These limits are usually outlined in policies such as umbrella insurance, excess liability insurance, or certain business liability coverages.
Another way of thinking of a Retention is that the insured retains or selfinsures some of the risk. For example, if a policy limit is $20 million and the retention is $1 million, the insured will pay for all costs associated with a loss that is up to $1 million.

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With a deductible, your insurer is involved in the claim from the start. With a self-insured retention, youre on your own until you pay the full retention amount. For example, if you have a $10,000 deductible and a $50,000 claim, your insurer pays $40,000.

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