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What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?

Read the case study presented at the end of Chapter 10 (Guido, p. 198) What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be? Is the nursing home insurance company correct in saying that this is a professional judgment issue? Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment? Was the physician neglectful in this case or does the responsibility lie primarily on the nurse?

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