Any Kaiser (TPMG) docs here?

[burritos]

do you work for kaiser/tpmg? tpmg docs and family have platinum coverage as in you get run over by a truck and spend 2 months in icu and you get no bills other than a 5 dollar drug co pay. why would you need a health savings account in this situation

My understanding is if the above happens, you're annual deductible for that event is $2800(minus 1200 that kaiser grants you if you do the HSA, so that's $1600). Am I understanding this incorrectly?

[fatlittlepig]

My understanding is if the above happens, you're annual deductible for that event is $2800(minus 1200 that kaiser grants you if you do the HSA, so that's $1600). Am I understanding this incorrectly?

I don’t know where you are getting your information. If you are a TPMG doctor you don’t pay anything for healthcare other than a copay for meds, so I’m not sure why you would need a health savings account I’ve never even heard of one with relation to TPMG.

[burritos]

I don’t know where you are getting your information. If you are a TPMG doctor you don’t pay anything for healthcare other than a copay for meds, so I’m not sure why you would need a health savings account I’ve never even heard of one with relation to TPMG.

My bad, it's an scpmg thing. Maybe it's not available in the Norcal.

[xbox361]

Hello,

Recently got contract with TPMG. It seems pretty straightforward in reading it. Should I be getting an attorney to look over the contract even though from what I've read, things aren't negotiable? The medmal paragraph also reads like it is an occurrence based policy?

Thanks

[fatlittlepig]

Hello,

Recently got contract with TPMG. It seems pretty straightforward in reading it. Should I be getting an attorney to look over the contract even though from what I've read, things aren't negotiable? The medmal paragraph also reads like it is an occurrence based policy?

Thanks

I wouldn’t bother unless you can’t read and like paying money to attorneys. Besides it’s not like you are going to get anything changed.

[Tim]

I wouldn’t bother unless you can’t read and like paying money to attorneys. Besides it’s not like you are going to get anything changed.

Consider it paying a tutor to under the contract? Different people have different learning styles. You definitely need to understand it.

[xbox361]

Thanks. The medical malpractice policy is covered by Kaiser Foundation Health Plan and not TPMG itself? Is it an occurrence based policy?

[fatlittlepig]

Thanks. The medical malpractice policy is covered by Kaiser Foundation Health Plan and not TPMG itself? Is it an occurrence based policy?

No idea and thankfully I haven’t had the need to know.

[CalMD]

Kaiser Foundation Health Plan covers professional liability. From a traditional sort of sense, it is an occurrence based policy. There is no need to purchase "tail" after one separates from TPMG, be it retirement or change of career. This is an advantage for high risk specialties, like obstetrics, orthopedics, or neurosurgery. It's a good place to collect cases for board examination for new grads.

The details are in the Policies section of MDPeople.

[asakkings]

I have a question regarding enrolling in the long term disability plan. I am in a procedural specialty and have a Mass Mutual own occupation policy for 10k/month benefit. Would it be a good idea to get rid of that to keep the CIGNA policy offered through TPMG, I am not sure if the definition of disability in this policy is as strong, would I be able to take both of them?

[CalMD]

For disability insurance, it is a difficult decision. If you continue with TPMG for the whole career, there is no need for additional disability insurance. If not, it would be wise to keep the Mass Mutual, especially if the rate is low, like you already have had it since residency.

Technically if one were to invest the money that would have been paid for disability insurance, it would make back some but not all the difference.

For TPMG and some procedural specialties, I have noticed "tracking". For example, there are operating and non-operating ophthalmologists. There are orthopedists who do majority of procedures. There are ob/gyn's who don't deliver, and ob/gyn's that are office based with no delivery, no cesarean section and no surgery. Will this trend in procedural specialties affect your Mass Mutual disability insurance?

[NationalPark]

NorCal TPMG buy in: minimum or more?

Ability to buy more. Was planning on buying more and had been saving for it. Would come from what I would otherwise put in index funds.

So index funds or more TPMG shares?

[fatlittlepig]

NorCal TPMG buy in: minimum or more?

Ability to buy more. Was planning on buying more and had been saving for it. Would come from what I would otherwise put in index funds.

So index funds or more TPMG shares?

I'd buy the full quantity of shares available, but buying the minimum required is also equally reasonable. It's all how you look at it.

[CalMD]

The TPMG shares consist of Class Alpha (one Regional Vote), Class Beta (one local medical center vote), and Class C (non-voting). A shareholder can only own one share of Alpha and Beta, but more C shares. The full share price is fixed at $20000. Each year, TPMG issues additional 10.5% shareholder interest based on the Class C shares already owned, effectively increasing the value of C shares by 10.5% and compounding, which returns sometimes higher than index.

The disadvantage is C shares are not liquid; one cannot sell it on open market. It is redeemed at time of separation from TPMG, like retirement or change of career, and capital gain tax is paid at that time. For the past years, the additional issuance has not stopped, so it is almost like "guaranteed" return on capital as long as TPMG remains solvent and thriving. In an indirect way, also an incentive to work hard and practice good medicine.

[Peds]

as long as TPMG remains solvent and thriving.

ha....i see what you did there.....