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Email: customer.service@hpsocover.com, CNA79574 (07-14) - Coverage for Cosmetic Procedures, CNA79575 (07-14) - Exclusion of Cosmetic Procedures, CNA80051 (09-14) - Amended Definition of Personal Injury Endorsement, CNA80052 (09-14) - Distribution or Recording of Material or Information in Violation of Law Exclusion Endorsement, CNA81753 (03-15) - Coverage & Cap on Losses from Certified Acts Terrorism, CNA81758 (01-21) - Notice - Offer of Terrorism Coverage & Disclosure of Premium, CNA82011 (04-15) - Related Claims Endorsement, CNA85091 (04-16) - Case Management Services, CNA89026 (05-17) - Media Expense Coverage, CNA89027 (10-17) - Entity Exclusion Endorsement, CNA94164 (11-18) - Amendment Definition of Claim Endorsement, CNA96097 (06-19) - Amended Definition of Policy Period Endorsement, G-121486-B (07-01) - Additional Insured Non - Healthcare Entity, G-121487-B (07-01) -Amendment to Certificate, G-121500-D (04-08) - Common Policy Conditions, G-121501-C (07-01) - Occurrence Policy Form, G-121502-C (07-01) - Claims Made Policy Form, G-121503-C (07-01) - Workplace Liability Form, G-121504-C (07-01) - General Liability Form, G-123827-B (07-01) - Additional Insured General Liability, G-141232-A (07-01) - Exclusion of Employed Professional Services, G-141232-A17 (09-02) - LA Excl of Empl Prof Services, G-141235-A (07-01) - Additional General Liability Locations, G-141236-A (07-01) - Exclusion of Activities, G-141236-AE (07-01) - Exclusion of Colonics including Colon Hydrotherapy, G-141237-A (07-01) - Scheduled Covered Subsidiaries, G-145184-A (06-03) - Policyholder Notice - OFAC Compliance Notice, G-147292-A (03-04) - Policyholder Notice - Silica, Mold & Asbestos Disclosure, G-39543-A - Exclusion of Business Coverage Extension, GSL11346 (05-09) -Prior Acts Errors or Omissions Endorsement, GSL13425 (05-09) - Business Owner Coverage Extension Endorsement, GSL13429 (05-09) - Exclusion of Prescriptive Authority, GSL13432 (05-09) -Exclusion of Specified Wellness Modalities, GSL13482 (05-09) - Director of Nursing Acting Director of Nursing or Administrator with Sublimits, GSL15563 (02-10) - Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs, GSL15564 (10-09) - Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion, GSL15565 (03-10) - Healthcare Providers Professional Liability Assault Coverage, GSL17101 (02-10) - Exclusion of Specified Activities Reuse of Parenteral Devices and Supplies, GSL2542 (05-09) - Exclusion of Procedures Treatments or Therapies Acupuncturist, GSL-5548 (11-05) - Case Management Services, GSL-5587 (11-05) - Consulting Services Liability Endorsement, GSL-6720 (10-06) - Fitness Liability Endorsement, CNA100351AL (11-20) - Alabama Punitive Damages Endorsement, CNA79516 (07-14) - Enterprise Privacy Protection, G-123846-A01 (07-01) - Alabama Cancellation and Non-Renewal, CNA79516AK (10-14) - Enterprise Privacy Protection, CNA80052AK (10-14) - Distribution or Recording of Material or Information in Violation of Law Exclusion Endorsement - Alaska, CNA84018AK (02-16) - Exclusion of Dental Midlevel Provider Procedures Endorsement Alaska, CNA85091AK (04-16) - Case Management Services - Alaska, CNA90321AK (02-18) - Medicare Medicaid Proceeding Defense - Alaska, G-123829-C54 (06-08) - Alaska State Provision, G-123846-C54 (07-01) - Alaska Cancellation and Non-Renewal, G-123853-C54 (07-01) - Alaska Amendatory Change, G-142870-A54 (07-11) - Alaska State Provision, GSL5548AK (06-06) - Case Management Services - Alaska, CNA96097AZ (10-19) - Amended Definition of Policy Period Endorsement for Arizona, G-123846-C02 (07-01) - Arizona Cancellation and Non-Renewal, G-123859-C02 (07-01) - Arizona Amendatory Change, CNA79516AR (07-14) - Enterprise Privacy Protection, CNA85091AR (04-16) Case Management Services - Arkansas, CNA98115AR (03-20)- Arkansas Policyholder Notice, G-123812-C03 (07-01) -Arkansas Amendatory Endorsement, G-123846-C03 (07-01) - Arkansas Cancellation and Non-Renewal, G-121501-C1 (07-01) -Occurrence Policy Form - California, G-121502-C1 (07-01) - Claims Made Policy Form - California, G-123846-D04 (07-01) -California Cancellation and Non-Renewal, G-123846-C05 (07-01) - Colorado Cancellation and Non-Renewal, CNA79516CT (12-14) -Enterprise Privacy Protection, CNA88920CT (06-19) - Connecticut Amendatory Change for EPLI, CNA88921CT (06-19) - Connecticut Amendatory Change for EPL, CNA95181CT (02-19) - Amendment to the Limits of Liability Endorsement - CT, G-123812-C06 (07-01) - Connecticut Amendatory Endorsement, G-123846-C06 (08-02) - Connecticut Cancellation and Non-Renewal, G-123846-C07 (07-01) -Delaware Cancellation and Non-Renewal, G-123846-C08 (07-01) -District of Columbia Cancellation and Non-Renewal, CNA80989 (12-14) - Concealment, Misrepresentation, Fraud Condition Amendatory Endorsement - Florida, CNA81758FL (01-21) - Notice - Offer of Terrorism Coverage & Disclosure of Premium, CNA85582FL (04-16) - Florida Cancellation and Non-Renewal, CNA88920FL (11-18) - Florida Amendatory Change for EPLI, CNA88921FL (11-18) - Florida Amendatory Change for EPL, G-123846-D09 (07-01) - Florida Cancellation and Non-Renewal, GSL7412FL (06-08) - Florida Amendatory Endorse, CNA79516GA (07-14) - Enterprise Privacy Protection, CNA85091GA (04-16) - Case Management Services - Georgia, G-123811-C10 (02-02) - Georgia Amendatory Change, G-123812-C10 (02-02) - Georgia Amendatory Change, G-123846-C10 (07-01) - Georgia Cancellation and Non-Renewal, G-123849-E10 (03-11) - Georgia Amendatory Change, G-123854-C10 (02-02) - Georgia Amendatory Change, G-123855-C10 (02-02) - Georgia Amendatory Change, GSL15563GA (02-10) - Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs - GA, GSL5548GA (03-06) - Case Management Services - Georgia, CNA100725GU (01-21) -Governmental Tort Claim Sub Limit of Liability Endorsement, G-123846-GU (1-21) - GU Cancellation & Non-Renewal Endorsement, G-123846-C52 (07-01) - Hawaii Cancellation and Non-Renewal, G-123846-C11 (07-01) - Idaho Cancellation and Non-Renewal, CNA88921IL (12-18) - Illinois Amendatory Change for EPL, G-123829-D12 (05-11) - Illinois State Provision, G-123846-C12 (07-01) - Illinois Cancellation and Non-Renewal, G-121493-B13 (07-01) - Indiana Consent to Settle, G-123846-C13 (07-01) - Indiana Cancellation and Non-Renewal, G-123846-C14 (07-01) - Iowa Cancellation and Non-Renewal, G-123846-C15 (07-01) - Kansas Cancellation and Non-Renewal, G-123856-C15 (07-01) - Kansas Amendatory Change, CNA96821KY (09-19) - Policy Holder Notice - Kentucky Surcharge-Firefighters and Law Enforcement Officials Fund, G-123846-C16 (07-01) - Kentucky Cancellation and Non-Renewal, G-121487-B17 (06-02) - Louisiana Amendment of Certificate of Insurance, G-121493-B17 (06-02) - Louisiana Consent to Settle, G-123846-D17 (02-02) - Louisiana Cancellation and Non-Renewal, G-124776-C17 (02-02) - Louisiana Pollution Exclusion, G-124777-C17 (06-02) - Louisiana Amendatory Change, G-137711-B17 (09-02) - Louisiana Amendatory Endorsements, G-141236-A17 (09-02) - Louisiana Exclusion of Activities, GSL13424LA (10-09) - Services to Animals - Louisiana, GSL13432LA (10-09) - Exclusion of Specified Wellness Modalities - Louisiana, GSL15564LA (03-10) - Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion - LA, GSL2542LA (10-09) - Exclusion of Procedures Treatments or Therapies - Acupuncturist - Louisiana, CNA78982ME (11-18) - Sexual Misconduct Sublimits of Liability Professional Liability & Sexual Misconduct Exclusion, CNA79516 (11-14) - Enterprise Privacy Protection, CNA88920ME (12-18) - Maine Amendatory Change for EPLI, G-123816-C18 (07-01) - Maine Amendatory Change, G-123846-A18 (11-01) - Maine Cancellation and Non-Renewal, CNA79516 (02-15) - Enterprise Privacy Protection, CNA79802MD (08-14) - Maryland Policyholder Notice, CNA81758MD (01-21) - Notice - Offer of Terrorism Coverage & Disclosure of Premium, G-123846-C19 (01-02) - Maryland Cancellation and Non-Renewal, CNA81758MA (01-21) - Notice - Offer of Terrorism Coverage & Disclosure of Premium, G-123846-D20 (07-01) - Massachusetts Cancellation and Non-Renewal, A79516 (07-14) - Enterprise Privacy Protection, G-123846-C21 (07-01) - Michigan Cancellation and Non-Renewal, G-144292-A (03-03) - Notice to Exempt Commercial Policy Holders Deregulation Forms & Rates, CNA88920MN (01-19) - Minnesota Amendatory Change for EPLI, G-123525-A22 (06-97) - Minnesota Insurance Guaranty Association Law, G-123846-D22 (07-01) - Minnesota Cancellation and Non-Renewal, G-135678-C22 (07-01) - Minnesota Amendatory Change, G-123846-C23 (07-01) - Mississippi Cancellation and Non-Renewal, GSL15563MS (02-10 ) - Information Privacy Coverage Endorsement HIPAA Fines, Penalties & Notification Costs - MS, G-123846-D24 (07-01) - Missouri Cancellation and Non-Renewal, CNA88921MT (11-18) - Montana Amendatory Change for EPL, G-123846-C25 (12-01) - Montana Cancellation and Non-Renewal, G-123857-C25 (07-01) - Montana Amendatory Change, G-123858-C25 (12-01) - Montana Amendatory Change, G-123816-C26 (07-01) - Nebraska Amendatory Change, G-123829-B26 (07-01) - Nebraska State Provision, G-123846-C26 (07-01) -Nebraska Cancellation and Non-Renewal, CNA88920NV (12-18) - Nevada Amendatory Change for EPLI, CNA88921NV (12-18) - Nevada Amendatory Change for EPL, G-123816-C27 (12-01) - Nevada Amendatory Change, G-123846-C27 (07-01) - Nevada Cancellation and Non-Renewal, CNA79516NH (12-14) - Enterprise Privacy Protection, CNA88920NH (11-18) - New Hampshire Amendatory Change for EPLI, CNA88921NH (11-18) - New Hampshire Amendatory Change for EPL, G-123846-C28 (07-01) - New Hampshire Cancellation and Non-Renewal, G-123850-D28 (07-01) - New Hampshire Amendatory Change, G-123851-B28 (01-02) - New Hampshire Amendatory Change, G-123846-C29 (07-05) - New Jersey Cancellation and Non-Renewal, GSL13424NJ (07-09) - Services to Animals - New Jersey, CNA72370 (01-13) - Extended Reporting Period with Reinstatement of Limits, G-123846-C30 (07-01) - New Mexico Cancellation and Non-Renewal, CNA85091NY (04-16) - Case Management Services - New York, G-123813-C31 (01-02) - New York Amendatory Change, G-123821-C31 (01-02) - New York Amendatory Change, G-123822-D31 (01-02) - New York Amendatory Change, G-123846-D31 (07-01) - New York Cancellation and Non-Renewal, G-142489-A31 (01-02) - Addendum to the Certificate of Insurance (Claims Made) Policy Holder, GSL10550NY (07-08) - New York Amendatory Endorsement, GSL11346NY (12-09) - Prior Acts Errors or Omissions Endorsement, GSL11892NY (03-09) - New York Amendatory Endorsement, GSL11893NY (03-09) - New York Amendatory Endorsement, GSL15563NY (04-10) - New York Information Privacy Coverage, GSL15565NY (04-10) - New York Assault Coverage, GSL18064NY (08-10) - New York Amendatory Endorsement, GSL5548NY (02-10) - Case Management Services - New York, GSL5587NY (02-10) - Consulting Services Liability Endorsement - New York, CNA79516NC (10-14) - Enterprise Privacy Protection, CNA88920NC (11-18) - North Carolina Amendatory Change for EPLI, CNA88921NC (11-18) - North Carolina Amendatory Change for EPL, G-123815-C32 (07-01) - North Carolina Extended Reporting Period, G-123846-C32 (07-01) - North Carolina Cancellation and Non-Renewal, GSL10546NC (06-08) - North Carolina Amendatory Endorsement, G-123846-C33 (07-01) - North Dakota Cancellation and Non-Renewal, G-123846-C34 (07-01) - Ohio Cancellation and Non-Renewal, G-123846-B35 (07-01) - Oklahoma Cancellation and Non-Renewal, G-142833-A35 (07-02) - Oklahoma Claims-Made Amendatory Endorsement, G-123846-C36 (07-01) - Oregon Cancellation and Non-Renewal, G-123812-A37 (11-01) - Pennsylvania Amendatory Change, G-123846-C37 (11-01) - Pennsylvania Cancellation and Non-Renewal, G-123847-C37 (07-01) - Pennsylvania Extended Reporting Period, CNA94164PR (04-19) - Amendment Definition of Claim Endorsement, G-123846-A58 (06-04) - Puerto Rico Cancellation and Non-Renewal, GSL13424PR (10-09) - Services to Animals - Puerto Rico, G-123815-C38 (07-01) - Rhode Island Amendatory Change, G-123846-C38 (07-01) - Rhode Island Cancellation and Non-Renewal, CNA85091SC (05-16) - Case Management Services - South Carolina, G-123846-C39 (07-01) - South Carolina Cancellation and Non-Renewal, CNA79516SD (11-14) - Enterprise Privacy Protection, G-123846-C40 (07-01) - South Dakota Cancellation and Non-Renewal, G-123811-C41 (07-01) - Tennessee Amendatory Change, G-123812-C41 (07-01) - Tennessee Amendatory Change, G-123828-B41 (10-01) - Tennessee Notice of Cancellation, G-123846-C41 (07-01) - Tennessee Cancellation and Non-Renewal, G-123854-C41 (07-01) - Tennessee Amendatory Change, G-123855-C41 (07-01) - Tennessee Amendatory Change, CNA80079TX (07-16) - Texas Policyholder Notice, CNA97490TX (01-20) - Texas Policy Holder Notice, G-123846-C (08-16) - Texas Cancellation and Non-Renewal, G-123846-C43 (07-01) - Utah Cancellation and Non-Renewal, CNA84126VT (03-16) - Deletion of Asbestos Exclusions, CNA85189VT (03-16) - Vermont Changes - Pollution, CNA88920VT (11-18) - Vermont Amendatory Change for EPLI, CNA88921VT (11-18) - Vermont Amendatory Change for EPL, G-123846-C44 (11-15) - Vermont Cancellation and Non-Renewal, CNA81758VI (01-21) - Notice - Offer of Terrorism Coverage & Disclosure of Premium, G-123846-A64 (01-21) - Virgin Island Cancellation and Non-Renewal, G-123846-C45 (07-01) - Virginia Cancellation and Non-Renewal, G-123811-C46 (02-02) - Washington Amendatory Change, G-123812-C46 (02-02) - Washington Amendatory Change, G-123846-C46 (02-02) - Washington Cancellation and Non-Renewal, G-123854-C46 (02-02) - Washington Amendatory Change, G-123855-C46 (02-02) - Washington Amendatory Change, CNA88920WV (01-19) - West Virginia Amendatory Change for EPL, CNA88921WV (01-19) - West Virginia Amendatory Change for EPL, G-123846-C47 (07-01) - West Virginia Cancellation and Non-Renewal, G-123846-C48 (07-01) - Wisconsin Cancellation and Non-Renewal. The short story: You should seriously consider liability insurance if you are a Physical Therapist. Sample Certificate of Insurance; Meeting the insurance needs of healthcare professionals for more than 40 years. too. Provide a certificate of attendance showing the course name, date, and number of hours. WebInsurance Manual; Automobile Coverage; Boiler and Machinery; Certificate of Insurance; Deductible; Forms. Alternative Risk Underwriting. Students should also be aware that when they enter the workforce, there could be gaps in coverage provided by their employer. Contacting a reputable insurance company to provide a quote for your clinic is one way you can compare the policy coverage and costs associated with this type of protection. So far it has been very easy to use and work with HPSO. Sample Certificate of Insurance; Sample Policy Forms; Search Search for: Get a Quote Renew Now; My Account Search; Contact us 1-800-982-9491; HPSO and Laurel Road have a special This is the maximum amount available to be paid on your behalf regardless of the number of claims or entities making claims against you. WebLeave your malpractice insurance to us. must be a U.S. citizen, U.S. national, or lawfully present in the U.S.; must be uninsured for at least 6 months; must have a pre-existing (prior) medical condition. Click the boxes in front of the following options. . 1-800-982-9491. If you need to manage your policy, including changing your address, requesting proof of coverage or updating your Telehealth services must comply with the same HIPAA-related rules and regulations at the federal and state levels, as well as business policies, that apply to the delivery of in-person services. Effective March 1, 2013, New Jersey must suspend accepting new applications for NJ Protect. Sample Certificate of Insurance insurance Product information and monthly rates are provided further below. CM&F place health aides release property protects thine career. Find out the facts before you need the coverage. Your multifaceted role in oral healthcare and patient education hasthe potential to leave you exposed tolawsuits orallegations ofmalpractice. Lastly, $185 is the annual premium he pays for this coverage. Be sure to include your name and policy number. The telephone number and best time you can be reached, A brief description of the facts of the claim (if available). Business insurance coverage should be considered by any firm or sole practitioner that: Please be aware that there is no specific exclusion on the professional liability policy through HPSO for communicable diseases like the coronavirus. A letter, or any other document, or demand for services or money from you because of acts or omissions arising from professional services you provide. Documentation would be a copy of your birth certificate or your passport information, or a certificate of citizenship, or a copy of your naturalization certificate. VCSR2TopSite - WipLogin Yes, you are eligible for up to a 60% discount if youve graduated from school within the last 12 months. Even worse, in some states you could be found liable for the financial responsibility of others. For the most part you will be dealing directly with the insurance company. Spotting and reporting incidents is an essential first step in the medical claims process. The HEALTHCARE PROVIDERS PROFESSIONAL LIABILITY COVERAGE PART is amended as follows: A. Please call HPSO at 1-800-982-9491. Insurance Provided by: HPSO cipher for your profession: American Casualty Company of Gelesen, Pennsylvania 151 N.Franklin Street Chicago, IL 60606 : COVERAGE PARTS: To find out if your doctor is in the network you can check the, Plan C + NJ Protect Rider 80%/70%, $2500/$5000, Plan C + NJ Protect Rider 100%/70%, $0/$7500, Plan C + NJ Protect Rider $30, 90/70%. A policy through HPSO will reimburse you up to $25,000 in aggregate for your legal representation arising out of a covered license protection incident. Considering this proportional increase in claims, its fair to surmise that PT malpractice lawsuits are on the rise, as well as your likelihood of getting sued. Typically, if you receive a 1099 form from the company/companies for which you have performed services, youre considered self-employed. 1-800-982-9491. Both provide coverage. Documentation would be a New Jersey drivers license, mortgage or rent bills, utility bills, and bank statements. When it comes to professional liability insurance, we have the knowledge and experience to provide the insurance products and services you need. Certificate of Insurance It came highly recommended and I'm glad I followed through! A certificate of insurance serves as the proof of payment and coverage. An act that violates the standards governing your profession may result in a disciplinary action. Next day delivery mail service is an option that some consumers already use and would promise delivery by March 1 if mailed by February 28. insurance With coverage through HPSO, you are covered individually for up to $1 million each claim and up to $3 million aggregate. No, having your own professional liability insurance coverage does not make you a more likely target. There is no coverage for criminal acts, including consensual sexual activity. If you have specific questions about occurrence or claims-made, contact us with your policy number, and we'll discuss your coverage needs and options with you. However, a parent or guardian may find more cost-effective options for coverage for a NJ Protect-eligible child under NJ FamilyCare instead. NJ Protect applications with documentation may be sent via FAX to: Having the events on record safeguards you, the patient, and the Insurer. Please be sure to explain you are asking about NJ Protect so the customer service representative can quickly provide information for the NJ Protect options. Get a Quote Renew Right. Practice methods, continuing education, and risk management techniques, as well as the severity and frequency of any incidents or claims reported are evaluated, before taking such serious underwriting action. Each situation is reviewed independently. In other words, if a lawsuit is brought against WebHPSO wrongdoing insurance policies are available through over 40 endorsing partners and offer healthcare professionals the coverage people need in an easy 3-step process When it comes to business liability coverage, we have an knowledge and experience for provide which insurance products or services you need. $124,407 average malpractice claim cost, up from $101,269 in the 2013 report, a 22.8% increase. Physical Therapy liability insurance is designed to provide professional liability coverage in the case of a malpractice lawsuit. In other words, if a lawsuit is brought against you as a PT for a number of valid reasons, your Physical Therapy liability insurance will stop these claims from jeopardizing your career. So, while your employer-based coverage is a good start, it may result in coverage gaps. An oral threat or complaint indicating that a party is holding you responsible for damages arising from professional services rendered. In addition WebView a product certificate available a HPSO professional liability insurance principles. If you are named in a malpractice lawsuit and your legal costs and settlement or judgment exceeds your employer limits, you may need to make up the difference.

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