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HomeMy WebLinkAbout07100180 Certificate of InsuranceM-a s A Jeremiah, welcome to our family of professionals! On behalf of all of my colleagues at AMTA I want to welcome you as an AMTA Professional member. We're thrilled to partner with you to advance the massage therapy profession. Through your support, we're excited to offer you numerous opportunities to strengthen your professional credibility, build your skills through continuing education, and enhance your practice through information resources. In addition, you can take pride in being part of a non-profit professional membership association, knowing that ANITA helps you to be your very best. Inside this package you'll find your insurance materials, membership card, wall certificate and code of ethics document. Within the next several weeks you'll receive a second package with a complete AMTA Professional Member Benefits Guide, ANITA pin and window decal. Here are just a couple of the many benefits your Professional membership offers you in the coming year: • Liability Coverage and Credentials -Work confidently, knowing you are covered by the broadest professional liability insurance in the profession. Display your AMTA wall certificate and code of ethics to enhance your credibility and professionalism. • Business-Building Tools - Stay up to date on practice development ideas, current research data and useful tips for client practice in mtj rM (Massage Therapy Journal. Access an extensive array of business-building tools in the Members' Section at www.amtamassage.org. • Networking and Learning Opportunities - Make rich new connections through chapters and at AMTA's 2007 National Convention in Cincinnati, Ohio, September 26-29, 2007. Earn CEs online in AMTA's Center for Continuing Education. It's our privilege to work with you to advance and protect the profession in which you've invested so much of your heart and soul. Thanks for choosing AMTA to help you reach professional excellence. Warmest regards, Lay Quek Director of Member Services P.S. If you're not already listed in AMTA's Find a Massage Therapist® national locator service, sign up now. It's FREE! Not sure if vou're listed? Call us at 888-THE-AMTA. Jeremiah I.M. Wri°ht 303 W Jackson St PO Box 105 Mulbeny, IN 46058-0105 SCANNED ,AMTA , e••, eaa Name Member lDs :Nlember Classification Expiration Date Jeremiah I.M. Wright 209425 PROF W 09/30/2008 0003 American Massage Therapy Association 500 Davis Street, Suite 900, Evanston, IL 60201-4695 For more information about your AMTA benefits: Phone 877.905.2700 (toll free) Sam-5:30pm Central Fax 847.864.5196 117eb xw ,amtarnassage.org E-mail inf0@amtamassage.org 0347 SCANNED IMIMIOG6 American Massage Therapy Association' y ,? Me 1? P Certificate of Insurance Member ID: 209425 Member Classification: PROF W Jeremiah I.M. Wright Member Effective. Date: 10/01/2007 to 09/30/2008 303 W Jackson St PO Box 105 Mulberry, W 46058-0105 Administered By: Insurance Company: Healthcare Providers Service Organizat ion American Casualty Company of Reading, PA Affinity Insurance Services, Inc. 159 East County Line Road Hatboro. PA 19040-1218 ?T? eiof Insurance i=e. y .Master Pohcv^Number,Dlaste? Policv?Effectioe llate?,aa4 `??tLututs(' er?euiolle°d;memlie) Professional Liability N 0289955556 11112007 12:01 AM Standard Time $2,0001000 each claim / Occurrence Coverage to 1/112008 12:01 AM Standard $6.000,000 aggregate Subject to Time the Master Polic Ag egate Coverage is afforded to Enrolled Members for a period of 12 months concurrent with the Enrolled Members 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 ex piration of the Certificate Period and will not be renewed. The Master Policy Aggregate may be reduced by claims aid on behalf of other insureds. j: Additional Coverages (included in Professional Liability Limits specified above • Personal Injury Liability • Good Samaritan Liability Dfalplacemenl Liability Workplace Liability • Fire & Water Legal Liability (su bject to 5250,000 sub limit) Coverage Extensions Coverage Extension Limits License Protection 510.000 per proceeding 1$25,000 aggregate Defendant Expense Benefit S 10.000 aggregate Deposition Representation 52,500 per deposition / $5.000 aggregate Assault (excluding Texas) $10,000 per incident/$25,000 aggregate Medical Payments $2,000 per person / 5100.000 aggregate First Aid $2,500 aggregate Damage to Property of Others $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, coverages. amounts, conditions and exclusions . Please contact HPSO at 1-383-253-1474 directly for a copy of the complete policy. SCANNED ®HPS0 - RSA, n: P...ile,a Sen-.e Or?n,a:wu K1t01-00308 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, 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 change by AMTA. For the most up-to-date list, go to the Benefits page in the members' section of www.aintamassaRe.org. • Acupuncure • Flotation Tank Therapy • Pointer-Plus locator/ ACU-Yoga Hypnosis stimulator • Aveda Spa Body Therapy • Kundalini Yoga Psychosomatic-related care • Body Talk • Moxibustion • Rebirthing • Breathergy Naprapathy Religious Healing Chiropractic adjustment • Naturopathics Shen (Physio Emotional • Colon Hydrotherapy, • Nutritional or dietary Release Therapy) Colonies counseling • Steam baths, steam booths, • CPR Osteopathic Soft Tissue steam showers, saunas • Cupping Therapy Manipulation • Taoist Abdominal Massage (with use of heat) Oxygen Therapy • Tanning beds, tanning tables • Far Candling Phoenix Rising Yoga Massage or tanning booths Detoxification Pilates (even if being used in • Teaching yoga to clients • Exercise conjunction with massage) (Instructors) • Fastin, • Yoga (even if being used in conjunction with massage) Additional Information An .AMTA 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 feel free to call AMTA 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, 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. Heaithcare Providers Sarvice Organization (HPSO) is a division of Affinity Insarance Sen ices. Inc.; in RY" and NH. AIS Affinity Insurance Agency; in b1N and OK. A1S Affinir: Insurance Agency, inc; and in CA. AIS Affinity Insurance Agency, Inc. dba Aon Direct Insurance Administrators License #0745465. mp 14VIOA32 ®HPSO 4NfW07 H_Ido P-iamSeni.cOyvcaiiun- Rtnericau f afsnge ??jera p g?ociatiotYk 2007-2008 This verifies that Jeremiah I.M. Wright has successfully met the professional standards established for recognition as a Professional member with Active status in good standing of the American Massage Therapy Association and is hereby granted this certificate of membership. In witness whereof, this Officer has affixed her hand and the Seal of this Association. ?1. Locna S. Cuptha, D.O., National President SrANNFD Organizr-d 1943-Incorporated in the State of Delaware 1960. This verification expires: 09/30/2008 American Massage Therapy Associations Code of Ethics r, brjarr 4, 2001 This Code of Ethics is a surnrnary statement of the standards by which massage therapists agree to conduct their praoticas and is a declaration of the general principles of accept able, ethical, professional behadcn: ,Nfa sage therapists shall: 1. Demonstrate commitment to provide the highest quality massage therapy/bodywork to those who seek their professional service. 2. Acknowledge the inherent worth and individuality of each person by not discriminating or behaving in any prejudicial manner with clients and/or colleagues. 3. Demonstrate professional excellence through regular self-assessment of strengths, limitations, and effectiveness by continued education and training. 4. Acknowledge the confidential nature of the professional relationship with clients and respect each client's right to privacy. 5. Conduct all business and professional activities within their scope of practice, the law of the land, and project a professional image. 6. Refrain from engaging in any sexual conduct or sexual activities involving their clients. 7. Accept responsibility to do no harm to the physical; mental and emotional well-being of self, clients, and associates. ?d20'JI?mcian Nlaw; Thea?A.o:ia?iov \ ^D Rio,, ?'?`? 10)>, F?D3 2bNIGAI SCANNED