Coverage & Benefits

The policy insures ophthalmologists for their direct patient treatment and for their vicarious liability for other persons acting under the ophthalmologists’ supervision, direction, or control. The policy also covers professional committee activities for healthcare facilities and professional associations and limited office premises liability. Additionally, an ophthalmologist’s policy automatically includes coverage for non-physician employees (see below).

Entity coverage insures the entity itself and its members, officers, directors, partners, or shareholders in their capacity as such, for direct patient treatment provided by the entity and their vicarious liability – legal responsibility – for the direct patient treatment provided by the entity’s employees or others. The policy also covers liability for professional committee activities conducted on behalf of the facility and limited office premises liability. Additionally, an entity policy automatically includes coverage for non-physician employees (see below).

All employed ancillary personnel, except optometrists and certified registered nurse anesthetists (CRNAs), are automatically covered under an ophthalmologist’s or medical entity’s policy at no extra charge. This coverage includes services rendered within their scope of training, licensure, and employment by you and for your direct benefit, as well as their vicarious liability for the actions of others. OMIC can insure your employed optometrists and CRNAs as additional insureds, upon approval of their application.

Eye bank coverage extends coverage for claims against eye banks resulting from patient injuries related to eye bank services. These services include medical activities performed by or on behalf of an eye bank, such as procuring, processing, testing, storing, and distributing donor ocular tissue. The policy may also extend coverage to facilities that process certain non-ocular tissues like bone, tendons, and veins, provided that the primary function of the facility remains focused on ocular tissue.

Management Services Organizations may face exposure from healthcare services provided by the practice. Upon approval, OMIC can include your MSO as an additional insured at shared limits, at no additional cost. Please note that MSO coverage may not be available in Kansas, Nebraska, Pennsylvania, and Wisconsin.

Do you own a medical spa that is incorporated or operates separately from your ophthalmology practice, specializing in cosmetic treatments? With an approved application, your medical spa can be included on the policy. Coverage will protect the medical spa and its non-physician employees against claims stemming from direct patient treatment. Additionally, coverage will extend to medical directors and owners in their capacity as directors and owners.

Optical shop coverage includes incidents related to contact lens fittings, prescription fulfillment, and limited premises exposures. Unincorporated optical shops within the policyholder’s practice receive automatic coverage at no extra charge, sharing limits with the physician or entity owner. Separately incorporated shops must be listed on the Declarations page for coverage to apply. Please note that coverage is currently unavailable in Kansas, Nebraska, Pennsylvania, and Wisconsin. As the OMIC policy excludes products liability, we recommend considering a commercial general liability (CGL) or business owner’s (BOP) policy for comprehensive protection, which includes products liability, general liability, and professional liability coverages.

Coverage extends to direct patient treatment provided by the entity and to individuals associated with the surgical facility as a member, officer, director, partner, or shareholder in their capacity as such. This includes coverage for their vicarious liability arising out of patient treatment by others at the facility, as well as liability from professional committee activities conducted on behalf of the facility.