Individual Practitioners Private Practice


Disclosure


Thank you for your interest in an insurance policy arranged through Medisec Ireland CLG, underwritten by MedPro.1 Please read the following information before proceeding with your proposal.


1. Disclosure

You must provide complete and accurate answers (acting honestly and with reasonable care) to the questions we ask you when you purchase a policy for the first time, make changes to your policy, or renew your policy.

Insurance is based on the information that you give to the insurer and if this information is wrong or incomplete, there may be adverse consequences: claims may not be paid in full or at all, your policy may have special terms imposed or be cancelled, your policy may be voided, and the premium paid may not be returned. If you are in doubt, please seek independent advice or contact us for clarification.

You must provide us with a “fair presentation” of the risk. This is one:

  1. which discloses every “material circumstance” which you know, or ought to know, or which puts the insurers on notice that it needs to make further enquiries for the purpose of revealing those material circumstances, and
  2. in which every material representation as to a matter of fact is substantially correct, and every material representation as to a matter of expectation or belief is made honestly and with reasonable care.

A “material circumstance” is one which would influence the judgment of a “prudent insurer” in fixing the premium or determining whether to cover the risk.

You must answer all questions posed by the insurer honestly and with reasonable care. You must (acting honestly and with reasonable care) make this disclosure in a manner which would be reasonably clear and accessible to a “prudent insurer”.

Once the policy has come into effect, the policy itself contains specific terms requiring you to notify us in a timely fashion regarding any claims or potential claims. Once the policy has come into effect, you must cooperate with the insurer in the investigation of insured events, including by responding to reasonable requests for information in an honest and reasonably careful manner. Additionally, if, after a claim has been made under a policy, you become aware of information (including information that would otherwise be subject to privilege) that would either support or, as the case may be, would prejudice the validity of your claim, you shall be under a duty to disclose such information to the insurer.

The proposal must be completed by the proposed individual and all questions must be answered.


2. Adequate cover

You must ensure that you have adequate cover in place for the sessions and hours you are working. Prior to taking on any new duties or sessions, make sure that your cover is extended with Medisec and MedPro in advance.


3. Your Data

We will only use your information insofar as it is necessary to administer your Medisec membership and to provide membership services, to administer your insurance contract or in connection with a claim. Please see our Privacy Notice for more information on how we handle your data.


4. Formalities

Medisec Ireland CLG (Medisec) is a private company, limited by guarantee, having its registered office at 7 Hatch Street Lower, Dublin 2. Registered in Ireland No. 216570, Medisec Ireland CLG is regulated by the Central Bank of Ireland. The GP Medical Malpractice product is distributed by Medisec as an intermediary and is underwritten by Berkshire Hathaway European Insurance Company DAC, trading as MedPro, which is authorised and regulated by the Central Bank of Ireland (C182407).


5. Additional Documents


Please note, once you start this application process you will have to complete without leaving the page.


6. Confirmation

Contact Details


The details given will be used to make contact with you. All queries and documentation relating to your application/policy will be sent to the email address provided and this includes a copy of your application form containing your personal information.


Please ensure that the email address provided is secure and can only be accessed by you.

An online client account will also be created and copies of all documentation can also be accessed here. The email address provided will serve as your username.

If different from your username.


(I) Please note that correspondence relating to your application/policy may be sent to the address provided.


Section A – Personal Details



Confirmation of Medisec Membership


 

Section B – Academic & Professional Details







Section C – Indemnity





Previous Insurer Start Date End Date Limit of Indemnity Excess

Add

Section D – Activities




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Section E – General Questions


Additional/Other Information


Declaration


In line with our aim to produce less paper and in support of a cleaner environment, it is our policy to make all of your documentation available to you electronically, via your online portal. Please phone the membership team on 00 353 1 6610504 if you need any assistance.