Medical Malpractice & Public Liability Insurance for Student members of BASRaT qualified to practice Sports Massage

You should refer to the policy summary & wording for full details of the insurance cover provided.
If you need assistance in completing any of the sections, please contact us on 01245 321185

Activities you wish to Insure
You must accurately describe and list below all activities for which you are qualified to undertake and for which insurance is required.  You must also demonstrate you have successfully completed an appropriate and recognised course if requested for each activity listed and insert below the percentage of your total annual income against each activity declared.

If Yes, please complete the boxes below:- 

Important Note: No cover is available for Injection of Lipogems and Ultrasound Guided Stem Cell Injections or Spinal Injections

If Yes, please complete the boxes below:-

Important Note: No cover is available for acupuncture related to fertility treatment when undertaken by Physiotherapists

*When Doctors, Nurses, Midwives or Surgeons are declared, full details of their activities must be submitted before cover can be agreed.

 

It is a condition of this insurance that all self-employed practitioners and sub-contractors engaged by your business must maintain Medical & Public Liability Insurance in their own name to the same limit of indemnity as you select for your own business and be maintained during the period of their engagement and for at least 3 years after termination of their services.
 
All therapists, whether employed or self-employed must be suitably qualified and maintain registration with HCPC or other statutory regulator where required.

Limits of Indemnity

The standard limit of indemnity is £5,000,000, if a higher limit is required please contact us.

Employers' Liability

This is an option you should consider if you engage employees, self-employed persons, volunteers (including students on work experience) for whom you may be liable for any work-related illnesses or injuries.

If Employers Liability Insurance selected, you must provide the Employers PAYE reference number. This is usually a unique reference comprising letters and numbers (e.g. 012/AB34567).

First Aid and Related Activities

If you have answered Yes to either the above, please state:

If yes, please note that the policy is only intended to cover all the above activities as ‘First Response’ only.

Your Duty of Disclosure

IMPORTANT NOTICE CONCERNING YOUR DUTY TO MAKE A FAIR PRESENTATION OF THE RISK

Before your insurance policy takes effect, you have a duty to make a fair presentation of the risks to be insured under your insurance policy. A fair presentation of the risk is one which disclose to the Insurer every material cirumstance which you know of or ought to know of; or gives the Insurer sufficient information to put the Insurer on notice that they will need to make further enquiries for the purpose of revealing those material circumstances, which makes that disclosure referred to above in a manner which is reasonably clear and accessible to the Insurer; and in which every material representation as to a matter of fact is substantially correct, and every material representation as to a matter of expectation or belief is made in good faith.

A material circumstance is one that would influence the Insurer's decision as to whether or not to agree to insure you and, if so, the terms of that insurance. If you are in any doubt as to whether a circumstance is material, you should disclose it to the Insurer.

 

Please answer the following:

If Yes, please provide the following details:

Important Notes:

• This policy is issued on an OCCURRENCE basis which only covers claims arising from activities undertaken during the currency of the policy.
• Cover will not commence until this application has been approved and a Quotation issued and accepted.
• Policies will run for 12 months from the agreed start date.
• No activities undertaken prior to commencement of the policy is insured unless agreed and noted in the Retroactive Endorsement. (Retroactive cover may be available subject to evidence of previous and continuous insurance)

DECLARATION AND UNDERTAKING

I declare that every statement and particular contained within this proposal form: which is a statement of fact, is substantially correct, and which is matter of expectation or belief, is made in good faith.

If any such facts, expectations and/or beliefs materially change before the insurance policy takes effect I undertake to provide details of all such changes to the Insurer in order to comply with my obligation to provide a fair presentation of the risk to be insured under the Insurance Policy. I consent to the processing of any sensitive personal data in order to administer and underwrite this policy. I agree to accept the insurer’s standard form of policy and endorsements for this insurance. I confirm that all persons carrying out activities in accordance with the Business or Occupation as defined above are suitably qualified to do.

 

Personal Data
 
The insurer for policies underwriting this scheme is RSA Insurance Group Ltd. (RSA). The scheme is administered on their behalf by James Hallam ProMed.

To arrange and administer your policy RSA and James Hallam Pro Med will hold and use information supplied by you, in accordance with U.K. Data Protection Laws and General Data Protection Regulation (GDPR). Full information and your rights about the personal data we collect and process can be found in our Privacy Notice which is available on request and online at www.jameshallam.co.uk/promed  A copy of the Privacy Notice will also be included in your quotation/renewal pack.

James Hallam ProMed would also like to send you details from time to time of their other related insurance products/services which may be of interest and benefit to you. 

Please select if you with to receive such details by:

Unless you select one of these options we will not be able to send information on any of our other insurance policies or services.

We will not sell or pass your information to other organisations for marketing purposes.

 

A copy of the proposal should be retained by you for your own records.