HomeMy WebLinkAbout07050176 Certificate of Insurance
American Massage Therapy Association@.
Certificate of Insurance
Member ID: 203079
Chelsea Mathews
1118 Windhaven Cir Apt A
Brownsburg, 1N 46112-7973
Member Classification: PROF W
Member Effective Date: 05/01/2007 to 04/3012008
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 Policy Number Master Polic . Effective Date Limits ( er enrolled member)
N 0289955556 1/1/2007 12:01 AM Standard Time $2,000,000 each claim/
to 1/1/2008 12:01 AM Standard $6,000,000 aggregate Subject to
Time the .Master Polic Ag regate
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. lfthe Master Policy is non-renewed or cancelled, the Enrolled Member's coverage
under this policy will tenninate upon the expiration of the Certificate Period and will not be renewed. The Master Policy
A reo-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)
T'r e of Insurance
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 / $25,000 aggregate
$10,000 aggregate
$2,500 per deposition / $5,000 aggregate
$10,000 per incident / $25,000 aggregate
$2,000 per person / $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 terms,
coverage's, amounts. conditions and exclusions. Please contact HPSO at 1~888-253-l474 directly for a copy of the complete policy.
~HPSO
HeahhcatePro\"jderoSer\"jceOrgani:::ltj"n~
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