Tracy H. Simons, President Administrator and broker for:

1. Tracy H. Simons, PresidentAdministrator and broker for:

2. Complications Insurance for Medical Travelers • Who is asking the question… WHAT IF SOMETHING GOES WRONG?

3. Who is at risk?What standards of care are you providing? • The Individual Medical Traveler • Not prepared for unforeseen expenses from a complication • Something goes wrong and there are additional expenses • Long term and immediate expenses • Facilitators, Receiving Hospitals and Employers • Clients look to you to solve unforeseen problems during the course of the travel and while care is being provided • Incur additional expenses of unforeseen emergent care or corrective care once the patient returns home • A medical malpractice occurrence • Vicarious liability associated with a mishap from implementing a medical travel benefit

4. Risks and Protections • What recourse is available in an international setting? • Where are the deep pockets? • What legal system will preside? • Avenue for recovery – how to make a victim of an accident whole? • What standards of care have the parties implemented to mitigate the risk?

5. Risks and Implications of Medical Travel • Riveting and captivating • Just checking to see who is paying attention. • Focus on Risk Management Issues

6. Risk Management This topic becomes much more interesting when there is a lack of it and someone has a financial loss.

7. Insurance 101 TWO LINES OF DEFENSE Liability Insurance Accident Insurance The exposure is not as as you may think. SCARY

8. Liability Insurance for the Entity • Facilitators and Employers – transfer the risk to an insurer. • Managed Healthcare Liability • Includes Vicarious Liability – The liability associated with the act of another party • Includes Defense Costs • Includes Damages and Settlements • Available from a few carriers in the United States for risks domiciled in the US • You will need a local representative to purchase this type of coverage in your home country

9. SECOND LINE OF DEFENSE • Accident Insurance – to mitigate the risk • First Party Coverage – claimant is the insured • Makes the injured party whole and mitigates the need for a lawsuit • Child Care Facilities • Missionary Insurance • Medical Payments of General Liability Policies

10. What is included? • Additional Medical or Surgical Treatment as the result of a complication • Accidental Death and Dismemberment • Disability • Repatriation of Mortal Remains • Family Coordination • Household Modification • Loss of Reproductive Function • 24/7 International Assistance Service

11. What is the value of GPS? • Recent Complications Claims • Blood Clots • Dental • Gall Bladder Surgery Claim • Provide a standard of care to clients to enhance your credibility • Allow for stakeholders to move forward in the industry by transferring risk to the insurer • Give patients peace of mind and access to care they may not get otherwise

12. Points of AccessWho is buying this coverage? • Individual – alone or through medical travel facilitators, appointed agents or directly online • Groups • Employers are providing this for all employees when they utilize the medical travel benefit on their group plan • Hospitals/facilitators are including the coverage on every patient to mitigate liability exposure

13. Insurers are here to help… • You can transfer the risk to insurers • This makes the “bleeding edge” of innovation less risky • Services that excel above the domestic standard for care • Adds to industry credibility SCARY SAFE!

14. How do we answer these questions? • What recourse is available in an international setting? • Where are the deep pockets? • What legal system will preside? • Avenue for recovery – how to make a victim of an accident whole? • What standards of care have the parties implemented to mitigate the risk?

15. QUESTIONS? Tracy Simons www.globalprotectivesolutions.com PO Box 5736, Columbia, SC 29250 803-799-1770 phone tsimons@customassurance.com