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Maryland medical malpractice insurance: physician disclosure and settlement terms

Maryland requires a physician who practices in the state to disclose when medical professional liability coverage is absent or has lapsed; the law does not itself require every clinician or practice to buy a policy. Maryland policy language also gives the insurer settlement authority within its liability limit, while disciplinary-hearing defense may be a separately itemized purchase. 1,2

What Is Medical Malpractice?

Medical malpractice insurance can pay defense costs and covered damages when a patient claims a clinician’s care caused harm. If you provide health care, match the quote to your practice, clinicians, specialties and procedures, then check who is insured. Read the national Medical malpractice guide.

Maryland Requirements

RequirementDetails
Physician disclosureA licensee practicing medicine in Maryland must give specified written notice to patients when the licensee has no medical professional liability coverage or coverage lapsed and was not renewed. The rule includes first-visit and procedure-consent timing, signed notice, records retention and conspicuous posting. 1

What to Watch for in Maryland

  • Check which clinicians the statute reaches

    Section 14-508 applies to a licensee practicing medicine in Maryland. Do not treat it as a statewide insurance mandate for every licensed health professional or the practice entity. 1

  • Ask who controls settlement

    A covered policy must authorize the insurer to negotiate and settle claims without restriction unless the proposed settlement exceeds the insurer’s liability limit. Review consent, cooperation and excess-exposure language in the actual form. 2

  • Price board-defense coverage separately

    A policy may include professional-discipline hearing defense, but the cost must be itemized and reported; the coverage may instead be offered and priced separately. Check the declarations and invoice before comparing quotes. 2

  • Treat notice as a practice workflow

    If a Maryland physician practices without insurance, build the required notice into first visits, informed consent and office posting. The statutory notice does not establish that any later claim is covered. 1

Who Regulates Insurance in Maryland

Maryland Insurance Administration

The Maryland Insurance Administration licenses producers and insurers, reviews rates and forms, and investigates complaints about insurance companies and producers. You can use its state lookup or complaint service to check a license or raise an insurance issue. 3,4,5

Surplus-lines tax and stamping office

Reported tax rate: 3% of gross premiums less returned premiums when Maryland is the insured's home state; excludes risks of Maryland and its political subdivisions When Maryland is the insured's home state, the tax is 3% of gross premiums less returned premiums, except insurance of risks of the State or a political subdivision. For policies effective on or after July 21, 2011, Maryland taxes the entire premium and the broker must charge the tax in addition to premium. Maryland's property and casualty guaranty corporation excludes surplus-lines policies. 6,7

Providers With Documented State Licenses

These providers publish a national listing for Medical malpractice; the state records document licenses for the entities and roles shown below. Some records rely on company-reported information rather than independent regulator verification. A national listing does not confirm the product is available in Maryland. Check the regulator’s license lookup and confirm state availability for your business when requesting a quote.

  • CorgiCorgi Insurance Services, Inc.Insurance producer · checked 2026-09-28Corgi’s company producer-license table lists 50 jurisdictions: 49 states and the District of Columbia, including DC license 3003091619. New Mexico does not appear in the table and is not included here; the omission does not establish that Corgi is unlicensed there. The company-reported table has no stated as-of date and does not establish product availability. 10
  • VouchVouch Specialty Insurance Services, LLCInsurance producer, Surplus-lines broker · checked 2026-09-28Vouch’s licenses page, effective January 16, 2025, lists producer licenses in all 50 states and DC. Its separate surplus-lines table includes Idaho number 870820, while a footnote says Georgia and Idaho do not issue agency-level surplus-lines licenses. Because those statements conflict for Idaho, this record keeps Idaho producer-only and does not treat the table number as established agency surplus-lines authority. The page is company-reported and does not establish product availability. 14

Questions to Ask Before You Buy in Maryland

  1. Which Maryland clinicians are physicians practicing in the state, and who else is insured by the quote?
  2. Does the policy reserve settlement control to the insurer, and how does it treat an offer above limits?
  3. Is disciplinary-hearing defense included, separately priced, or absent from this quote?

Medical Malpractice in Maryland: FAQ

Does Maryland require every medical provider to carry malpractice insurance? 1

The cited notice statute addresses Maryland medicine licensees without coverage; it requires disclosure and posting in that circumstance rather than stating a universal purchase mandate for every health professional. 1

Can the insurer settle without my consent? 2

Maryland requires policy language authorizing the insurer to negotiate and effect a compromise within its liability limit. Read the policy for the exact consent, cooperation and excess-settlement provisions. 2

Is licensing-board defense automatically included? 2

No. The statute permits it as policy coverage when its cost is itemized and reported, and permits it to be offered and priced separately. 2

Medical Malpractice in Other States

Other Coverage in Maryland

Sources

  1. Maryland Code, Health Occupations §14-508. Maryland General Assembly; Subsections (a)–(c): covered physician licensees, first visit/procedure notice, patient signature, records and office posting. Accessed 2026-09-28.
  2. Maryland Code, Insurance §19-104. Maryland General Assembly; 2026 official statute, pp. 1–2: mandatory insurer settlement clause; optional, itemized disciplinary-hearing defense. Accessed 2026-09-28.
  3. Maryland Insurance Administration. Maryland Insurance Administration; Homepage and consumer contact. Accessed 2026-09-28.
  4. Insurance License Lookup. Maryland Insurance Administration; State-designated producer/company search. Accessed 2026-09-28.
  5. File an Insurance Complaint. Maryland Insurance Administration; State complaint process and contact. Accessed 2026-09-28.
  6. Md. Code, Insurance §3-324. Maryland General Assembly; Insurance §3-324(a)-(b), (d)-(f): government-risk exclusion; 3% of gross premiums less returns; entire-premium home-state basis from July 21, 2011, with tax charged in addition. Accessed 2026-09-28.
  7. Maryland Insurance Article (2026). Maryland General Assembly; Insurance §9-303(5), (7): surplus-lines and unauthorized insurers excluded from property and casualty guaranty subtitle; 2026 Insurance Article PDF. Accessed 2026-09-28.
  8. Licenses. At-Bay; Current producer introduction and state table; At-Bay Insurance Services LLC; P&C and surplus-lines identifiers. Accessed 2026-09-21.
  9. Licenses and Carriers. Coalition; Licenses and Carriers, re-read 22 September 2026: Insurance Licenses table for Coalition Insurance Solutions, Inc., national producer number 18419475, with producer and surplus-lines numbers for all 50 states and DC including California 0L76155, Georgia 196479, Texas 2199630 and 2205589, Pennsylvania 815731 and 817452, Colorado 539028 and Wisconsin 3000108852. Insurance Carriers table naming, with NAIC numbers, Allianz Underwriters Insurance Company 36420, Arch Specialty Insurance Company 21199, Ascot Specialty Insurance Company 45055, Ascot Insurance Company 23752, Aspen Specialty Insurance Company 10717, Chaucer Insurance Company DAC, Coalition Insurance Company 29530, Fireman's Fund Indemnity Corporation 11380, Fortegra Specialty Insurance Company 16823, Lloyd's of London, MSIG Specialty Insurance USA Inc. 34886, MS Transverse Specialty Insurance Company 41807, Steadfast Insurance Company 26387, Vantage Risk Specialty Insurance Company 16275 and Zurich American Insurance Company 16535. Accessed 2026-09-22.
  10. Insurance Producer Licenses. Corgi Insurance; Current complete Insurance Producer Licenses table for Corgi Insurance Services, Inc.; 50 rows covering 49 states and DC (DC 3003091619); no New Mexico row; no NPN or as-of date shown. Accessed 2026-09-28.
  11. About Hiscox US Insurance. Hiscox; Hiscox Insurance Company Inc. NAIC 10200 as Chicago, IL domiciled insurer admitted or licensed in all 50 states and D.C.; Hiscox Inc. as general agent and Lloyd’s coverholder for Syndicates 33 and 3624; surplus-lines placements through licensed surplus-lines brokers; A.M. Best rating statement. Accessed 2026-09-16.
  12. Licenses. ERGO NEXT Insurance; Current entity-by-state license table reopened 28 September 2026: 50 rows under Next First Insurance Agency, Inc., including Washington, DC; New York rows instead list Next Insurance Services PC-1423070 and AP Intego BR-1198885. Accessed 2026-09-28.
  13. Insurance Licenses by State. TechInsurance; Current state table; identifies TechInsurance as a division of Specialty Program Group LLC d/b/a SPG Insurance Solutions; lists DC 3000041536 and labels Rhode Island “Individual licenses,” without an agency license number. Accessed 2026-09-28.
  14. Licenses. Vouch; Effective 16 January 2025: Vouch Specialty Insurance Services, LLC, NPN 19926463; P&C table (50 states and DC); surplus-lines table includes Idaho 870820; footnote says Georgia and Idaho do not issue agency-level surplus-lines licenses; Idaho retained as producer-only due to conflict. Accessed 2026-09-15.

Updated .

This guide is informational and does not determine whether a policy is available or meets your needs. Editorial policy. To suggest a correction, contact Spot with a supporting source.

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