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Application
HOLISTIC HEALTH PRACTITIONERS APPLICATION
Part of our group benefits is to offer Professional Malpractice and General Liability insurance The coverage provides $2,000,000 for liability and $2,000,000 for malpractice. This coverage works only for the Modalities specified below, provided the practitioner has successfully completed the requisite training and is certified by an approved School or Association, and must be practicing in Canada.

There are two choices of coverage:

Option 1--this option will cover all the modalities below, with the premium of $240.60, all fees included.

MODALITIES INSURED

Acupressure Aromatherapy Aquatic Exercise Therapy Ayurveda Massage
Bach Flower Remedy Biofeedback Body Talk Bowen Technique
Brine Baths Chair Massage Chakra Balancing Crystal Healing
Craniosacral Healing Touch Heller Work Hot Stone Massage
Hydrotherapy Indian Head Massage Iridology Lomi Ancient Massage
Nutrition Counseling Polarity Therapy   Pranic Healing Qi Gong
Raindrop Therapy Reflexology Relaxation Massage

RMT (excluding Ontario)

Reiki Shiatsu Swedish Massage

Tai Chi

Thai Massage Therapeutic Touch

Touch for Health

 
 
Option 2—this option will cover higher risk modalities, with the premium of $325.40, all fees included.

MODALITIES INSURED –
Please indicate if you are applying for any of these modalities.
Acupuncture (If other modalities are also practiced) Bio Energetic Intolerance Elimination
Deep Tissue Treatments Hypnotherapy
Homeopathy Sports Medicine
Yoga Meditational  
 
PLEASE FILL OUT BOTH APPLICATIONS on the next page and mail them to us.
Important Notice - Claims or Occurrences During Policy Term Your malpractice coverage is a Claims Made form. All claims MUST be reported during the policy period in which you are first aware of a possible claim. Please ensure that any occurrence that MAY result in legal action is reported to Impact Insurance Brokers immediately.

Claims or Occurrences Prior to Coverage Inception
There is no retroactive date offered under this policy. Any occurrences prior to the effective date that may result in legal action are deemed to be outside the policy period and subsequently are not covered by this policy.

It is important to renew on time every year in order to ensure continuous coverage. If you do not intend to renew please notify us, in order for us keep our records updated.
(If you renew after the renewal, a modest surcharge will apply).

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