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Medical Payments Coverage

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MCIT offers medical payments coverage on a discretionary basis to injured parties who are not members’ employees with the intent of averting a time-consuming and potentially expensive litigation to prove negligence.

The coverage is typically used to reimburse the injured party for medical expenses, which may include health insurance deductibles and co-pays.

MCIT investigates each reported incident and discusses the applicability of coverage with the member. These payments are made regardless of fault in consultation with the member.

Medical Payments Coverage Details

Members generally recognize and appreciate that this coverage may prevent a more severe claim. The coverage has a $2,500 limit per person, and MCIT waives the deductible on this line of coverage.

Medical payments coverage applies to actual medical expenses, including:

  • First aid
  • Necessary medical, surgical, X-ray or dental services
  • Ambulance, hospital and professional nursing services

Medical expenses must be incurred within one year of the incident.

Coverage can also extend to authorized volunteers injured while performing their duties on behalf of the member.

Excluded from Coverage

Medical payments coverage does not apply to injuries sustained by:

  • Anyone who is a covered party under the member’s MCIT Coverage Document, including employees and the member’s elected or appointed officials, with the exception of authorized volunteers as noted previously
  • Persons hired to do work on the member’s premises
  • Anyone, whether an employee or not, if benefits for the injury are payable or must be provided under workers’ compensation
  • Someone injured on the premises in an area he or she normally occupies (e.g., a tenant or employees of an organization who leases space in the member’s building)
  • A person confined to the member’s jail or correctional facility
  • A person taking part in athletic activities
  • Students and children participating in youth activities conducted by a covered party

Excluded parties are generally covered elsewhere. Examples:

  • A member’s employees are covered by workers’ compensation.
  • An independent contractor should be covered by his or her own workers’ compensation policy.
  • Students can be covered by a separate medical/accident policy purchased by the member.

Report Claims, Incidents

MCIT encourages members to report all claims for damages, as well as any incident that might result in a claim through the online member portal (use orange button at top to access).

For questions regarding coverage, members are encouraged to contact their risk management consultant toll-free at 1.866.547.6516.

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