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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~ ----- ..... \ K#01-00308 I