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A Reciprocal Risk Retention Group, which provides Professional Liability and General Liability Insurance coverage.

 

 

PELICAN Insurance is a Risk Retentions Group (RRG) based out of Vermont and is a sponsored program of PACAH (Pennsylvania Coalition of Affiliated Healthcare & Living Communities). PELICAN provides General Liability and Professional Liability insurance coverage to all nursing homes in Pennsylvania and Maryland. PELICAN offers dedicated and personal Risk Control and Claims Representatives who are focused on providing excellent customer services to PELICAN members.  PELICAN is a non-profit group so they regularly return surplus to their members as dividends. PELICAN Insurance began writing business effective on March 1, 2003.

 
PELICAN is a reciprocal insurance exchange organized under the laws of the State of Vermont that operates as a risk retention group pursuant to the Federal Liability Risk Retention Act of 1986.  PELICAN Insurance is filed in and has received the approval of Vermont and Pennsylvania Insurance Departments.
 
As a reciprocal insurer, PELICAN's members are called "Subscribers" and its governing body is known as the "Subscribers Advisory Committee". Management functions are performed primarily by PELICAN's "Attorney-in-Fact", which is a Vermont limited liability company, wholly owned by CCAP. The Attorney-in-Fact, called PELICAN Insurance Management, LLC, contracts with other service providers to provide services to PELICAN. PELICAN is owned exclusively by its Subscribers. Under the terms of Vermont law and PELICAN's Rules and Regulations, every Subscriber of PELICAN must also be an insured. Federal Law prohibits PELICAN and its insureds from participating in any state guaranty fund.
 
PELICAN's operations are overseen by the Subscribers Advisory Committee. At least two-thirds (2/3) of the Subscribers Advisory Committee must consist of Subscribers other than the Attorney-in-Fact or any person employed by, representing, or having a financial interest therein. 
 

 MEMBERSHIP LISTING

 

 

 ELIGIBILITY

 
  • PELICAN is open, but not restricted to, all PACAH members.
  • Assisted Living Facilities are also eligible for membership.
  • Potential members also need to meet the underwriting standards or PELICAN to be eligible to become insured. There is no assurance that a particular entity will be eligible to become an insured, or that an insured will remain eligible to be insured pursuant to the RRG’s underwriting standards.
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 CONTACT US

 

Questions concerning our PELICAN Insurance program, including requests for an application, should be directed to:

John R. Sallade, CRM
Managing Director, Insurance Programs
Office Phone: (717) 526-1010 x3309
Direct Phone: (717) 736-4709
jsallade@pacounties.org

 

 CLAIMS REPORTING

 
 

 MEMBERSHIP LISTING

 
  • Abington Crest Health & Rehabilitation Center​
  • Beaver Valley Nursing & Rehabilitation Center
  • Belair Health and Rehabilitation Center
  • Berks County Home - Berks Heim
  • Bradford County Manor
  • Broad Mountain Health & Rehabilitation Center
  • Dresher Hill Health and Rehabilitation Center
  • DuBois Nursing Home
  • Eldercrest Nursing Center
  • Elk Haven Nursing Home
  • Elkins Crest Health & Rehabilitation Center
  • Gracedale Nursing Home
  • Havencrest Nursing Center
  • Jefferson Manor Health Center
  • John J. Kane Regional Center, Glen Hazel
  • John J. Kane Regional Center, McKeesport
  • John J. Kane Regional Center, Ross Twp.
  • John J. Kane Regional Center, Scott Twp.
  • Langhorne Gardens Rehabilitation & Nursing Center
  • Loyalhanna Health Care Associates
  • Meadowcrest Nursing Center
  • Mountain City Nursing & Rehabilitation Center
  • Mountain Laurel Health and Rehabilitation Center
  • Neshaminy Manor Nursing Home
  • Oak Hill Nursing and Rehabilitation Center
  • Our Family Home
  • Philadelphia Nursing Home
  • Pleasant Acres Nursing & Rehabilitation Center
  • Pleasant Ridge Manor Nursing Home
  • Pleasant Valley Manor
  • Pocopson Home
  • QCF Saxony Health Center
  • Slate Belt Health & Rehabilitation Center
  • Spruce Manor Nursing & Rehabilitation Center
  • Statesman Health & Rehabiltation Center
  • Stonebridge Health & Rehab Center
  • Suburban Woods Health and Rehabilitation Center
  • Susqueview Home, Inc.
  • Tremont Health & Rehabilitation Center
  • Washington County Health Center
  • William Penn Health Care Associates
  • Valley Manor Nursing & Rehabilitation Center
 

 APPLICATION PROCESS

 

​The process for joining PELICAN is as follows:

  • The nursing home will be required to complete an application for insurance, and to forward the completed application to CCAP via their local producer. PELICAN can not work directly with the nursing home.
  • PELICAN's underwriters will review the application to evaluate the degree of risk associated with it and, for applications meeting PELICAN's underwriting standards, will prepare and forward to the applicant a premium quotation indicating coverage terms and conditions.
  • Subject to payment of the premium, and submission of a signed Subscribers' Agreement, along with any other required supporting documents, a policy will be issued to the nursing home. PELICAN Insurance Program has a common effective date of 3/1. A nursing home may enter the program at any time during the policy period. If the nursing home enters the program mid-term, the premium will be pro-rated.
  • PELICAN's premium is due in one payment (installment payments can be accommodated with prior approval).

    To request an application please email insurance@pacounties.org.
 

 CLAIMS PHILOSOPHY

 

​The PELICAN philosophy on liability claims can be summed up very simply:

  • If we owe it, we will settle it for a reasonable amount.
  • If we don't owe it, we will resist the claim vigorously.

The County Commissioners of Pennsylvania Insurance Program employs claims professionals who are experts in PA tort law, Municipal Tort immunity and civil rights law and who handle claims aggressively and manage the litigated files. Furthermore, the claims department works closely with Corporate Counsel and a selected group of outstanding defense attorneys who provide the PELICAN program with dependable legal opinions and vigorous representation.

PELICAN recognizes that members have to take a stand on principles and that nuisance settlements often encourage additional litigation. As a result, PELICAN continues to defend cases that many insurance carriers would settle for economic reasons for a few hundred or a few thousand dollars. PELICAN is willing to take cases to trial, but we do this with our eyes open, recognizing the potential exposure. As a rule, PELICAN only takes cases to trial if the claims are defensible or if an important principle is involved. Historically, our track record at trial is very strong.

There are, however, situations in which our ability to defend the case is weakened because of unclear legal issues, poor witnesses, inadequate documentation, inflammatory facts and other similar problems. In such cases, we will attempt to settle the claim for a reasonable amount.

Additionally, we attempt to identify cases with a large potential exposure early on, and investigate those cases thoroughly along with defense counsel, so that the decision to defend or settle can be made before we incur substantial attorney fees.

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 RISK CONTROL SERVICES

 

​Because many exposures of a member may be difficult to detect, it is important for risk managers to obtain expert advice for controlling losses and minimizing costs. PELICAN's risk management services offer members the expertise of a qualified loss control specialist. The specialist may identify potential hazards or loss causing conditions and make recommendations to help the member control these exposures.
 
PELICAN's risk management services are provided FREE to all subscribers and are just a part of a full range of programs and services designed to meet the needs of our subscribers. 
 
PELICAN's risk management services may be the members' most critical element in bottom line cost control.

Available loss control services include the following:

  • Conducting facility safety audits and walkthroughs.
  • Providing educational opportunities. As many as 36 loss control workshops are held annually around the state.
  • An educational workshop at the PACAH conferences both in the spring and the fall.
  • Webinars offered to subscribers twice a year.
  • Online safety training programs available for all subscribers  staff to enroll.
  • A free safety video lending library for subscribers’ use.
  • Monthly medical device recall notifications sent by email to subscribers.
  • Publish Safety Essentials, a safety newsletter sent to all subscribers quarterly.

    PELICAN encourages their subscribers to participate in risk control activities in order to lessen the chances of a loss and also to reduce the cost of losses when they do occur. The PELICAN Risk Control Prevention Credit Program rewards subscribers who participate in risk control activities with a reduction of their premium costs, up to 5 percent annually.
 

 MORE INFORMATION