HomeMy WebLinkAbout07040108 Certificate of Insurance
Amermcan Massage Therapy Associat~on@
Certificate of Insurance
Member ill: 200604
Sharon G. Fansler
4137 W Gifford Rd
Bloomington, IN 47403-2600
Member Classification: STU W
Member Effective Date: 03/01/2007 to 02/29/2008
Administered By:
Healthcare Providers Service Organization
Affinity Insurance Services, Inc.
159 East County Line Road
Hatboro, PA 19040-1218
Insurance Company:
American Casualty Company of Reading, P A
Master Polic Number Master Policy Effectiye Date Limits (er enrolled member)
N 0289955556 11112007 12:01 AM Standard Time $2,000,000 each claim I
to 1/112008 12:01 AM Standard $6,000,000 aggregate Subject to
Time the Master Polic A re ate
Coverage is afforded to Enrolled Members for a period of 12 months concurrent with the Enrolled Member's effective date or
until membership is tenninated or expires. If the Master Policy is non-renewed or cancelled, the Enrolled Member's coverage
under this policy will terminate upon the expiration of the Certificate Period and will not be renewed. The Master Policy
A re ate ma be reduced b claims aid on behalf of other insureds.
Additional Coverages (included in Professional Liability Limits specified above):
. Personal Injury Liability
. Good Samaritan Liability
. Malplacement Liability
. Workplace Liability
. Fire & Water Legal Liability (subject to $250,000 sub limit)
e of Insnrance
Professional Liability
Occurrence Coverage
Coverage Extensions
License Protection
Defendant Expense Benefit
Deposition Representation
Assault (excluding Texas)
Medical Payments
First Aid
Damage to Property of Others
Coverage Extension Limits
$10,000 per proceeding I $25,000 aggregate
$10,000 aggregate
$2,500 per deposition I $5,000 aggregate
$10,000 per incident I $25,000 aggregate
$2,000 per person I $100,000 aggregate
$2,500 aggregate
$500 per incident I $10,000 aggregate
This material is intended to provide a general overview of the products and services offered. Only the policy can provide the actual terms,
coverage's, amounts, conditions and exclusions. Please contact HPSO at 1-888-253-1474 directly for a copy of the complete policy.
IIHPSO
Healthc~l'C Pn""Jcn; Snvicc Oril'ffiizatin,,-