PREMIUM GUIDELINES

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.

LM/CNM Rate Guidelines

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:

Births Per Birth $
13-24 $198
25-49 $164
50-74 $153
75+ $130

So, as an example, if you are not new to practice and you plan to attend 30 births, your premium would be calculated as:

Base Rate First 12 births $6,867 =$6,867
13-24 12 births@ $198 each =$2376
25-49 6 births@ $164 each =$984
50-74 0 births@ $153 each =$0
75+ 0 births@ $130 each =$0
=$10,227
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.

% Gyn $ Increment
0 $0
up to 25% $200
up to 50% $400
over 50% $800

Birth Center Rate Guidelines

Base Rate: $1,717

This base rate covers any number of births attended by midwives who hold a JUA Midwifery Medical Professional Liability Policy

Additional Births

Births attended by providers who are not covered by the JUA are charged an additional $198 per birth


Practice Reduction Programs

The Practice Reduction programs are available to midwives who wish to significantly reduce the number of births they attend for two reasons:

  • As part of a transition plan between full practice and full retirement

    or
     
  • As part of a temporary practice size reduction that will be followed not by retirement but by a return to full-time practice.

To be eligible for either program, you must meet all three of the following criteria:

  • You must be licensed for a minimum of ten consecutive years and be in good standing

    ...and...
     
  • You must have five years current and consecutive JUA coverage at a minimum of twelve births attended each year

    ...and...
     
  • You must be current with continuing education and peer review, and remain current while covered under the Practice Reduction programs.

Short Term Practice Reduction Program

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:

  • Eleven (11), or
  • 40% of the average births paid for over the past five years

2. The base premium and additional delivery charge for births attended are:

Births Premium
up to 2 $1,200 base rate
3 to 11 $400 per birth

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.

Long Term Practice Reduction Program

The Long Term Practice Reduction Program (LTPR) is for midwives who no longer attend births. There is no maximum duration for this program.

The LTPR program costs $960 per year. You can do prenatal care and postpartum care after 12 hours PP, but no intrapartum care (in any capacity) nor any immediate postpartum care.