The PLICO claims staff consists of eight professionals and two administrative assistants. The professional staff includes two attorneys and two registered nurses and four experienced insurance claim analysts.

PLICO has had excellent claim results since changing from third-party administration. Since 2004, the claims staff has reduced the number of open suits by forty-two percent. In the last three and one-half years PLICO has won ninety-seven percent of the cases tried. This outstanding result is a credit to the quality of the medicine practiced, the advocacy of the lawyers representing the physician, and the careful selection of cases taken to trial.

PLICO’s outstanding record is the result of aggressive and proactive claims handling. Supporting our claims staff is a group of highly motivated, defense minded attorneys who provide legal representation to our physicians. The claim staff is vigilant regarding ongoing communication and coordination between the claim department and our experienced panel of eight law firms. This allows for greater accountability and better overall results.

PLICO‘s claim department will continue to build on the values which serve the best interests of the physicians we insure. Our success is founded upon retaining the best people available, both to defend the physician and manage the claim.

Reporting Claims

Please Call (405) 815-4802 to report a claim.

Timely reporting of a claim or lawsuit is required by your policy. When you call to report a claim, please have your policy number available and be prepared to discuss the facts of the claim or lawsuit with a PLICO representative.

Note: Notice to the claims department is the only way to satisfy the claim reporting requirements of your policy. Reporting an incident to our risk managers or any other PLICO personnel does not constitute notice of a claim.

In the event you receive notice of a lawsuit:

1. Notify PLICO by contacting the Claims Department within 2 days of receiving a Summons & Petition or Complaint. It is important to report the exact date the Summons was received and who accepted the service as an Answer must be filed within twenty days of service. For example: if the Summons was sent by certified mail and the green card showing acceptance of the service was signed on May 1st, this is the date that triggers the “twenty day” response time to file an Answer.
2. Fax or e mail a copy of the Summons & Petition to PLICO as directed by the Claims Department when you report the lawsuit.
3. After confirming coverage, the Claims Counsel or a Claims Analyst will contact you and discuss the assignment of a defense attorney. In addition, the Claims Counsel or an Analyst will give you general information regarding the process and answer any questions you may have.
4. Do not discuss the facts involved in the lawsuit with anyone before you have contacted the PLICO staff.

Please feel free to contact the Claims Counsel or your Analyst for any questions, concerns or if you need any further information regarding your claim. We are here to assist you through this process as we know this will be a stressful time for you and your family.

E-mail Claims: sdix@plico-ok.com or rolandese@plico-ok.com