10-Exhibit D - Jail-Health Medical.pdf

This document is an Allied Healthcare Professional and General Liability Insurance Application for Gregg County Health Clinic & Gregg County Jail submitted to Pro-Praxis Insurance. The application seeks healthcare facilities professional liability insurance with a $1,000,000 per professional incident limit and a $250,000 deductible, effective 11/01/2025. The applicant is a government entity with 15 total employees, operating a Community Health Department and Correctional Health facility, providing services including 10 jail clinic beds and pediatric immunizations. The organization offers medical services through two physicians (Dr. Lewis Browne and Dr. Gary White), both practicing Family Medicine.

The application reveals historical financial data showing revenue growth from $1.8M three years prior to $4.305M in the current/expiring year, with visits increasing from 6,000 to 8,800 and full-time equivalent employees growing from 23 to 39. The organization has implemented comprehensive risk management practices, including formal incident reporting procedures, HIPAA compliance, mandatory staff training, and criminal background checks. The insurance application indicates no prior claims, no changes in ownership, and compliance with professional licensing requirements. The organization provides services across 100% of its own locations, with patient demographics spanning 2% under 18 years old, 90% between 19-65 years old, and 8% over 65 years old.