The 12-month requirement still applies for second and subsequent awards.
One of the biggest reasons for high insurance rates is the risk of a huge lawsuit and subsequent award if something goes wrong.
The medal can be won multiple times, each subsequent award indicated by an additional bar.
It has also one the subsequent awards for 2008 and 2009.
Each subsequent award, with the exception of the 1958 award, has been similar to the original design.
The star may be presented more than once, an additional bar on the medal's ribbon marking each subsequent award.
The medal could be conferred up to four times, although for a subsequent award the period of service was doubled.
There have been several subsequent awards for lifetime achievement and a few to editors.
A subsequent awards show was announced for 2008 but never actually took place.
Recipients are eligible for subsequent awards, although this has yet to happen.