SEC Filings

8-K
PERNIX THERAPEUTICS HOLDINGS, INC. filed this Form 8-K on 02/27/2019
Entire Document
 

 

Pernix Therapeutics Holdings, Inc.

Schedule of Insurance

 

 

 

 

NO. Coverage Insurance Carrier Policy Period Policy Number Insurance Costs Limits / Coverages Deductibles / Other Considerations
1 Primary Products Liability $15,000,000 Limit Ironshore Specialty
Insurance Company
11/30/2018 - 11/30/2019 002174804

$643,750.00 18-19 Premium

+ $32,187.50 Surplus Lines Tax
$675,937.50 Total Policy Cost 

$15,000,000 - Each Claim

$15,000,000 - Aggregate

$250,000 - Withdrawal Expense Reimbursement (Class 1 Recall Only)

$50,000 - Repair and Replacement of Impaired Property Aggregate

$250,000 - Class 1 Product Recall Expenses Aggregate

$2,000 - Clinical Trial Medical Expenses Each Person

$20,000 - Clinical Trial Medical Expenses Aggregate 

100,000 Each Claim / $500,000 Aggregate (All Other Products not subject to $250K deductible described below)

---------------------

$250,000 Each Claim / $1,250,000 Aggregate (Treximet Pediatric and Cardiovascular Thrombotic, Heart Failure and Edema events, and ZohydroER 1st Generation)

$50,000 SIR Each Claim for Withdrawal Expenses

Retroactive Dates:

08/20/2014 - Treximet

10/25/2013 - ZohydroER but only for this product sold by the named insured after 4/25/2015, from inventory acquired on 4/25/2015 and controlled by the named insured

02/18/2000 - All Other Products

2 Excess Products Liability $10M xs $15M Underwriters at Lloyd’s (Life Science Risk) 11/30/2018 - 11/30/2019 LSRXS0038118

$215,000 18-19 Premium

+ $10,750 Surplus Lines Tax
$225,750 Total Policy Cost

 

$10,000,000 - Each Occurrence
$10,000,000 - Aggregate

Retroactive Date: 12/10/2010

 

Underlying Policy:

Ironshore Primary Products
$15,000,000 - Each Claim
$15,000,000 - Aggregate 

3 Excess Products Liability $10M xs $25M TDC Specialty Insurance Company 11/30/2018 - 11/30/2019 LSX000631800 $120,000 18-19 Premium
+ $6,000 Surplus Lines Tax
$126,000 Total Policy Cost
$10,000,000 - Each Occurrence
$10,000,000 - Aggregate

Retroactive Date: 11/30/2014

 

Underlying Policies:

Ironshore Primary Products
$15,000,000 - Each Claim
$15,000,000 - Aggregate

 

Life Science Risk Excess Products
$10,000,000 - Each Claim
$10,000,00 - Aggregate

 

6 Commercial Property Federal Insurance
Company

11/30/2017 - 05/31/2019

 

Policy
Extension from 11/30/2018 to 05/31/2019

 

36051359

$48,955 11/30/17-18 Premium
+$2,606 Taxes & Surcharges
$51,561 Total 17-18 Policy Cost

 

$23,955.31 Extension Premium
+$1,340.69 NJ PLIGA
$25,296.00 Total Extension Cost

 

*$76,857 Total Costs for 11/30/2017 - 05/31/2019

 

Business Personal Property - Varies by Location

Business Income & Extra Expense - Varies by Location

Perishable or Contaminated Property - Varies by Location

Equipment Breakdown - Included

Unlimited Extended Period of Indemnity

Earthquake - $5,000,0000 Limit
Flood - Varies by Location 

$2,500 - All Other Perils Deductible
24 Hour Waiting Period - BI & EE

 

Earthquake - $50,000 / 48 Hours (BI & EE)

 

Flood - Varies by Location

 

Wind - 5% Property Damage Minimum of $25,000 / 96 Hour Waiting Period - NC, FL. TX, & SC 

4 Coverage Workers Compensation & Employers Liability Insurance Carrier Federal Insurance Company Policy Period 11/30/2018 - 05/30/2019 Policy Number 71751699 $54,824 Short-Term Policy Premium
+ $223 Expense Constant
+$1,352 Taxes & Surcharges
$56,399 Total Short-Term Policy Cost

Statutory Benefits - Workers Compensation & Employers Liability

$1,000,000 - Each Employee

$1,000,000 - Disease - Per Employee

$1,000,000 - Disease - Aggregate

 

$1,000,000 - Stop Gap Liability - OH
$1,000,000 - Stop Gap Liability - WA

Covered States: AL, AZ, AR, CA, CO, CT, DC, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, MD, MI, MN, MS, MO, NE, NV, NH, NJ, NY, NC, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV
5 Business Automobile - Fleet Federal Insurance
Company

11/30/2017 - 05/31/2019

 

Policy
Extension
from
11/30/2018 to
05/31/2019

 

73588735

$199,474.00 11/30/17-18 Premium
+ $614.76 Taxes & Surcharges
$200,088.76 Total 17-18 Policy Cost

 

$101,204.52 Extension Premium

 

+ $312.48 NJ PLIGA
$101,516.00 Total Extension Cost

 

*$301,604.76 Total Costs for 11/30/2017 - 05/31/2019

 

$1,000,000 - Combined Single Limit - Symbol 1 (Any Auto)
Various - PIP - Symbol 5 (Owned Autos Subject to No - Fault)
$10,000 - Auto Medical Payments - Symbol 2 (Owned Autos)
Minimum / Statutory Required - Uninsured / Underinsured Motorists - Symbol 10 

$ACV or Cost of Repair - Physical Damage Comp and Collision
Coverage - Symbols 2,8 (Owned & Hired)

 

$50 - each disablement - Towing & Labor

$50/per day / $1,500 max for Rental Reimbursement for a max of 30 Days 

$1,000 each Comprehensive & Collision Coverages
7 Commercial General Liability Navigators Insurance
Company

11/30/2017 - 05/30/2019

 

Policy
Extension
from
11/30/2018 to
05/30/2019

 

CH17NCP02048000

$33,483.00 11/30/17-18 Premium

 

+ $198.91 NJ PLIGA

 

$33,681.91 Total 17-18 Policy Cost

 

$17,096.00 Extension Premium
+ $101.56 NJ PLIGA
$17,197.56 Total Extension Cost

 

*$50,879.47 Total Costs for 11/30/2017 - 05/30/2019

 

$2,000,000 - General Aggregate

Not Covered - Products and Completed Operations
$1,000,000 - Personal & Advertising Injury
$1,000,000 - Each Occurrence Limit

$1,000,000 - Damage to Premises Rented to You
$10,000 - Medical Expense

$1,000,000 - Employee Benefits Liability - Each Employee
$1,000,000 - Employee Benefits Liability - Aggregate
Retroactive Date: 10/01/2014 

$1,000 - Employee Benefits Liability

Schedule 4.29 to Credit Agreement