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Home My WebLink About07040153 Certificate of Insurance (2) .- ~.- American Massci!f~Therapy Association@: . i I I I Certificate of Insurance Member ID: 201446 Molly Parker 1051 Kings Mill Rd Apt 301 Greenwood, IN 46142-4964 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 Hathoro, PA 19040-1218 Insurance Company: American Casualty Company of Reading, P A ~ t-~f~tn~tt;arrce :._' Professional Liability Occurrence Coverage '~l\t;l1J)ii!iV.l~i:ii:iilllTf",~sf;;f,ilij)Ui'i!ErtectW€" aij;;~' N 0289955556 1/1/2007 12:01 AM Standard Time to 1/1/2008 12:01 AM Standard Time the Master Po1ic A e 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 terminated 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) Coverage Extensions . License Protec.tion DefendantExpense 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 mateIial is intended to provide a general overview of the products and services offered. Only the policy can provide the actuaUerms, coverage's, amounts, conditions and exclusions. Please contact HPSO at 1-888-253-1474 directly for a copy of the complete policy. t (lHPSO Healthcare Providen 8eFvice Organi:atlm- K#03-0031 0 I AMTA Coverage and Modality Exclusions Named Insureds are covered for professional services for which the named insured is licensed, certified, accredited, trained or qualified to perform within the scope of practice recognized by the regulatory agency responsible for maintaining the standards of the massage therapy profession. As an AMTA enrolled member covered by our insurance program, emolled members are responsible for and expected at all times to be familiar and current with all laws, regulations, etc. in their state of practice that govern their profession as a massage therapist. Modality Exclusions The following list of modalities is excluded under this insurance program. This list is subject to review and change by AMTA. For the most up-to-date list, go to the Benefits page in the members' section ofwww.amtamassage.org. . Acupuncture . Hypnosis . Psychosomatic-related care . ACU-Yoga . Kundalini Yoga . Rebirthing . Aveda Spa Body Therapy . Moxibustion . Religious Healing . Body Talk . Naprapathy . Shen (Physio Emotional . Breathergy . Naturopathics Release Therapy) . Chiropractic adjustment . Nutritional or dietary . Steam baths, stearn booths, . Colon Hydrotherapy, counseling steam showers. saunas Colonies . Osteopathic Soft Tissue . Taoist Abdominal Massage . CPR Manipulation . Tanning beds, tanning tables . Cupping Therapy . Oxygen Therapy or tanning booths . Ear Candling . Phoenix Rising Yoga Massage . Teaching yoga to clients . Detoxification . Pilates (even if being used in (Instructors) . Exercise conjunction with massage) . Yoga (even if being tised in . Fasting . Pointer-Plus locator! conjunction with massage)' . Flotation Tank Therapy stimulator Additional Information An AMT A membership card in conjunction with this notice should serve as acceptable evidence of insurance to anyone requesting proof of your professional liability coverage. If you have any additional questions concerning the AMTA Professional Liability Insurance Plan, please call our insurance administrator, HPSO, toll free at 1-888-253-1474. We are dedicated to giving you the best service possible and thank you for the opportunity to provide this insurance and membership to you. Please also feeHree to call AMT A with questions or comments. Reporting Claims Please call HPSO toll free at 1-888-253-1474 for claim reporting procedures or refer to the AMTA ProfeSSional Liability Benefits Guide. Additional Insured Requests Please call HPSO toll free at 1-888-253-1474 for additional insured requests. This program is underwritten by American Casualty Company of Reading, P A a CNA company and is offered through the Healthcare Providers Service Organization Risk Purchasing Group. 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. Healthcare Providers Service Organization (HPSO) is a division of AffInity Insurance Services, Inc,; in NY and NH. AIS Affinity Insurance Agency; in MN and OK, AIS Affinity Insurance Agency, Ine; and in CA, AIS Affinity Insurance Agency, Inc. dba Aon Direct Insurance Administrators License #0795465, KiHPSO 0001 3SMOI07 Healthcare Providers Senrlce Orpnlndon~ , I