HomeMy WebLinkAbout07070007 Certificate of Insurance
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American Massage Therapy Association@
Certificate of Insurance
Enrolled Member ID#: 205803
Enrolled Member Classification: PROF W
Tina Nicolazzi
1121 Golfview Dr Apt H
Cannel, IN 46032-4891
Certificate Period:
07/01/200712:01 AM Standard Time
to 06/30/200812:01 AM Standard Time
Administered By:
Healthcare Providers Service Organization
Affinity Insurance Services, Inc.
159 East County Line Road
Hatboro, P A 19040-121 8
Insurance Company:
American Casualty Company of Reading, P A
Master Polic 'EffeCtiveDlifeo Liniits. er enrolled. member,
1/1/200712:01 AM Standard Time $2,000,000 each claim I
to 1/1/200812:01 AM Standard $6,000,000 aggregate SUbjectlo
Time the Master Policy A re ate j
Coverage is afforded to Enrolled Members for a period of 12 months concurrent with tne 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)
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Professional Liability
Occurrence Coverage
. Master"Polic :Number
N 0289955556
Coverage Extensions
License Protection
Defendant Expense Benefit
Deposition Representation
Assault (excluding Texas)
Medical Payments
First Aid
Damage to Property of Others
Coverage Extension Limits
$ I 0,000 per proceeding I $25,000 aggregate
$10,000 aggregate
$2,500 per deposition I $5,000 aggregate
$10,000 per incident / $25,000 aggregate
$2,000 per person I $100,000 aggregate
$2,500 aggregate
$500 per incident / $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 tcnns,
coverage's, amounts, conditions and exclusions. Please contact HPSO at 1-888-253-1474 directly for a copy of the complete policy.
(lHPSO
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80MII06 He;.lthcare Provide-no Sef'V;CO: Ol'g:mioalilln-
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AMTA Coverage and Modality Exclusions
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Named Insureds are covered for professional services for which the named insured is licensed, certified, accredited,
trained or qualified to perfonn within the scope of practice recognized by the regulatory agency responsible for II
maintaining the standards of the massage therapy profession. As an AMT A enrolled member covered by our
insurance program, enrolled 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 chan1ge
by AMT A. For the most up-to-date list, go to the Benefits page in the members' section ofwww.amtamassage.org.
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. Acupuncture . Hypnosis . Psychosomatic-related caie
. ACU-Yoga . Kundalini Yoga . Rebirthing
. A veda Spa Body Therapy . Moxibustion . Religious Healing
. Body Talk . Naprapathy . Shen (Physio Emotional
. Breathergy . Naturopathics Release Therapy)
. Chiropractic adjustment . Nutritional or dietary . Steam baths, steam booths,
. Colon Hydrotherapy, counseling steam showers, saunas I
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 I
. Detoxification . Pilates (even if being used in (Instructors) I
. Exercise conjunction with massage) . Yoga (even if being used in
. Fasting . Pointer-Plus locator/ conjunction with massage)
. Flotation Tank Therapy stimulator
Additional Informatiou
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 AMT A Professional Liability Insurance Plan, please call our insurance administrator, HPSO,
to II 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 feel free 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 AMT A Professional
Liabi lity 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, PA 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 11 division of Aninity Insurance Services, Inc,; in NY and NH, AlS 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.
I1HPSO
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