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Why malpractice insurance isn’t enough

Clint Coons, Esq
Finance
December 12, 2025
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A few months ago, I received a call from a frustrated surgeon.

It wasn’t about a malpractice claim; he was covered there. The problem was that his teenage son had totaled the family car. Nobody was seriously hurt, thankfully, but the other driver’s attorney was already sniffing around his assets. He told me, “Clint, this can’t touch my house or savings, right? I have medical malpractice insurance.”

That’s when I had to give him the answer every doctor hates to hear: Your malpractice policy doesn’t protect your personal assets.

The hidden risk no one mentions

It’s a situation I see all the time; smart, diligent physicians discovering that professional vs. personal liability are two very different worlds. Malpractice insurance addresses errors and omissions within your practice, but it does nothing for everyday risk management, like a car accident, an injury at home, or a family-related claim. And once a judgment exceeds your malpractice insurance limits, everything held in your personal name (home, bank accounts, or investments) can be on the line. That’s why asset protection for physicians isn’t optional. It’s a form of financial planning for physicians that separates your medical practice from your personal wealth before a crisis happens.

Insurance is the extinguisher. Structure is the firewall.

Think about risk the same way you think about infection control. Insurance is like a quick dose of antibiotics (helpful, sometimes life-saving) but it doesn’t build immunity. True protection comes from layers: the barriers and systems you put in place before something goes wrong. Here’s how I break it down for my physician clients.

Strengthen the first line of defense

Start with strong malpractice coverage and add a personal umbrella policy. Umbrella insurance is an affordable option that extends beyond malpractice insurance limits and provides protection against personal lawsuits unrelated to your medical practice.

Isolate your practice

Operate through a professional corporation or LLC for doctors. That entity acts as your first “firewall,” keeping claims tied to your practice from spreading to your personal assets.

Move investments out of your name

Holding investments in your own name invites unnecessary exposure. By using LLC asset protection, you gain “charging order” protection, meaning creditors can’t seize or control your investments. You stay in charge, which discourages lawsuits and protects your future.

Separate riskier assets

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If you invest in real estate, consider creating a separate LLC for each property to protect your entire portfolio from a single lawsuit. The same principle applies if you invest in the stock market; the owner of your brokerage account should be an LLC or trust held by an entity. This structure is one of the most effective asset protection strategies for doctors, shielding your investments from outside liability.

Coordinate it all with a living trust

A living trust keeps your estate out of probate, ensuring continuity for your family while integrating your LLCs, practice, and assets into a single, coherent plan.

Protecting physician wealth

You’ve worked too hard to build your practice and investments to leave them vulnerable. Protecting physician wealth means building barriers that keep one lawsuit, one accident, or one oversight from erasing decades of effort. By taking these steps, you’re not just protecting your assets; you’ll also create flexibility. The right type of business entities and trust structures often provide significant tax advantages, enhancing overall financial planning for physicians while securing their assets for the long term.

What physicians say

The value of this structured approach is something my clients, like Gene Liu, MD, have come to appreciate. He has noted the importance of working with professionals who are “exceedingly knowledgeable about asset protection and tax mitigation strategies.”

When your professional world feels unpredictable, the right structure brings a sense of peace of mind. That calm confidence is what Dr. Liu was describing.

The preventive mindset

Asset protection is preventive medicine for your financial life. It’s not about paranoia; it’s about preparation. Every layer you add (insurance, entities, trusts) limits how far a financial “infection” can spread. I’ve seen the difference it makes firsthand. The surgeon who called me after his son’s accident took my advice; we restructured his holdings, created separate LLCs, and moved his investments out of his name. A year later, he told me, “I finally sleep without thinking about what could go wrong.” That’s the real reward: freedom from the constant background worry that one mistake, one accident, or one frivolous claim could undo everything you’ve built.

What it really means to protect

You’ve spent your life protecting others (patients, families, entire communities). But who’s protecting you? Your career isn’t just what you do; it’s who you are. Every call, every hour is worth defending. Treat your future with the same care and precision you give your patients. Build real protection (not just patches or promises) so one unexpected event can’t undo everything you’ve worked for. Because in both medicine and wealth, prevention always wins. Protect what you’ve built before the fire starts.

Clint Coons is an attorney.

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