This scheme helps Medical Defence Organisations (MDO) and Medical Indemnity Insurers (MII) cover claims made against medical practitioners who are not working.
You need to know
About the Run off Cover Indemnity Scheme
This information will assist you to fill out a Medical Indemnity payment application form under the Run off Cover Indemnity Scheme (ROCS).
The person against whom the claim was made must be eligible for ROCS when the claim was first notified to the MDO or MII.
Claiming under the ROCS
You need to submit an application to claim.
Apportionment is how liability between parties to a claim are decided.
Cost sharing arrangements
Cost sharing arrangements apply if there’s an agreement between parties to share the costs or disbursements.
Settlement and judgment costs
You need to take settlement and judgment costs into account in your claim.
Plaintiff costs are the legal costs for the person who has brought the action against the medical practitioner.
Request to aggregate payments
A MDO and a MII may aggregate amounts paid or amounts payable for the same claim against a member or policy holder.
Request for information
Under section 38 of the Medical Indemnity Act 2002 the Chief Executive Medicare may ask you for more information.
Returning your Medical Indemnity payment application
You can send us your application and supporting documents by post or email.
When we’ll pay your claim
We’ll pay you before the end of the month immediately following the month we get your application.
We can recover overpayments and incorrect payments.
The internal review is an administrative service that we provide to any MDO or MII.
Letting us know if things change
You must let us know if circumstances change after we’ve made a payment to an applicant.
Your right to privacy in the Run off Cover Indemnity Scheme
You have a right to have your personal information kept private.
Insurance Statistics Australia specialty codes (ROCS)
The below list of Insurance Statistics Australia (ISA) specialty codes can be used in your Medical Indemnity payment application.
Glossary for Medical Indemnity
Some terms used in Medical Indemnity insurance claims have specific meanings depending on which scheme they apply to.