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To assist in financial planning, particularly for new policyholders, midwives whose practice volume is changing significantly, or midwives considering the Short Term Practice Reduction program, the premium rates as of November 9th 2008 are listed below. Please note that this is a guideline only and does not constitute a formal policy proposal. In order to receive a formal proposal, you must complete an application or renewal form and submit it for approval.
New to Practice LM/CNM Base Rate: $5,150
Covers the first 0-12 births for midwives whose policy starts within 12 months of first Washington State midwifery license date. This NTP rate applies to the first year of your policy and, if your first policy was pro-rated (ie. it started after July 1st and was for less than 12 births) also to your second full year.
Established LM/CNM Base Rate: $6,867
Covers the first 0-12 births for established midwives
Incremental Birth Rates
If you attend more than 12 births a year, your premium includes per-birth increments as follows:
So, as an example, if you are not new to practice and you plan to attend 30 births, your premium would be calculated as:
Well Woman Care Increments
If you are an ARNP, you may pay extra depending on the percentage of your practice that offers Well Woman Care.
Base Rate: $1,717
This base rate covers any number of births attended by midwives who hold a JUA Midwifery Medical Professional Liability Policy
Births attended by providers who are not covered by the JUA are charged an additional $198 per birth
The Practice Reduction programs are available to midwives who wish to significantly reduce the number of births they attend for two reasons:
To be eligible for either program, you must meet all three of the following criteria:
The Short Term Practice Reduction Program (STPR) is for midwives wishing to still attend births. The program lasts for up to 5 years, at which point you would either return to full practice, retire, or switch to the Long Term Practice Reduction Program:
Rating guidelines for the STPR program are as follows:
1. The maximum number of births attended during the STPR policy term is the lesser of:
2. The base premium and additional delivery charge for births attended are:
If you attend 12 or more births, you become ineligible for the STPR program and your entire premium (including births 0-12) will be calculated using the standard rating structure.
The Long Term Practice Reduction Program (LTPR) is available to midwives who wish to stop attending births, but continue offering prenatal, postpartum and (for nurse midwives) Well Woman care. The LTPR does not permit the provision of intrapartum care in any capacity, or postpartum care within 12 hours of the birth. Please refer to the previous section "Practice Reduction Programs" for eligibility criteria.