Accident Coverage
$25,000 Benefit
Medical Expense Benefit
If the Covered Person incurs eligible expenses as the direct result of a covered injury and independent of all other causes, the Company will pay the charges incurred for such expense within 365 days, beginning on the date of accident. Payment will be made for eligible expenses in excess of the applicable $100.00 Deductible Amount, not to exceed the Maximum Medical Benefit
The first such expense must be incurred within 90 days after the date of the accident. “Eligible expense” means charges for the following necessary treatment and service, not to exceed the usual and customary charges in the area where provided.
• Medical and surgical care by a physician
• Radiology (X-rays)
• Prescription drugs and medicines
• Dental treatment of sound natural teeth
• Hospital care and service in semiprivate accommodations, or as an outpatient
• Ambulance service from the scene of the accident to the nearest hospital
• Orthopedic appliances necessary to promote healing
Excess coverage: This plan does not cover treatment or service for which benefits are payable or service is available under any other insurance or medical service plan available to the Covered Person.
Exlusions and Limitations
Accidental Death & Dismemberment
Benefit amount is $2,500. If a covered injury results in any of the losses specified below within 365 days of the date of the accident, the Company will pay the applicable amount:
• Full Principal Sum for loss of life
• Full Principal Sum for double dismemberment
• Full Principal Sum for loss of sight of both eyes
• 50% of the Principal Sum for loss of one hand, one foot, or sight of one eye
• 25% of the Principal Sum for loss of index finger and thumb of same hand “Member” means hand, foot, or eye.
Loss of hand or foot means complete severance above the wrist or ankle joint. Loss of eye means the total, permanent loss of sight.
We will not pay more than the Principal Sum for this benefit for all losses due to the same accident.
This plan does not cover any loss to or resulting from: • Suicide, self-destruction, attempted self-destruction or intentional self-inflicted injury while sane or insane. • War or any act of war, declared or undeclared. • Sickness, disease or any bacterial infection, except one that results from an accidental cut or wound or pyogenic infections that result from accidental ingestion of contaminated substances. • Voluntarily taking any drug or narcotic unless the drug or narcotic is prescribed by a Physician. • Covered Expenses for which the Covered Person would not be responsible in the absence of this Policy. • Injuries paid under Workers’ Compensation, Employer’s liability laws or similar occupational benefits or while engaging in activity for monetary gain from sources other than the Policyholder. • Injury caused by, contributed to or resulting from the Covered Person’s use of alcohol, illegal drugs or medicines that are not taken in the dosage or for the purpose as prescribed by the Covered Person’s Physician. • Service or Active Duty in the armed forces, National Guard, military, naval or air service or organized reserve corps of any country or international organization. • Services or treatment rendered by a Physician, Nurse or any other person who is employed or retained by the policyholder; or an Immediate Family member of the Covered Person. • Treatment of a hernia, OsgoodSchlatter’s disease, osteochondritis, appendicitis, osteomyelitis, cardiac disease or conditions, pathological fractures, congenital weakness, whether or not caused by a Covered Accident. • Damage to or loss of dentures or bridges or damage to existing orthodontic equipment, except as specifically provided in this Policy. • Eyeglasses, contact lenses, hearing aids. • Travel or flight in or on any vehicle for aerial navigation, including boarding or alighting from: While riding as a passenger in any aircraft not intended or licensed for the transportation of passengers.
General Liability Coverage
$1,000,000 Coverage
Limits
Our General Liability, Professional Liability, and Abuse or Molestation coverages are separate limits. A claim under one coverage part will not reduce the coverage available for the two other coverage parts.
General Liability Coverage starting at $1,000,000/$1,000,000 limits
Professional Liability Coverage at $1,000,000/$1,000,000 limits
Abuse or Molestation starting at $100,000/$300,000 limits
Exclusions
Exclusions Exclusions include but are not limited to the following: Access or Disclosure of Confidential or Personal Information and data-Related Liability – With Limited Bodily Injury Exception, Coverage C – Medical Payments, Employment Related Practices Exclusion, Fungi or Bacteria, Exclusion of Other Acts of Terrorism Committed Outside the United States; CAP on Losses from Certified Acts of Terrorism, Exclusion of Punitive Damages Related to Terrorism, Liability Arising Out of Lead, Silica or Related Dust Exclusion, Nuclear, Biological, or Chemical Exclusion, Failure to Provide Waiver and Release Sublimit, Exclusion – Organic Pathogens. Please note: the following are ineligible for coverage and will be excluded under the policy: MMA Style & Boxing Competitions, Use of Live Edge Weapons, Mechanical Bucking Devices (Including Multi Ride Attachments), Inflatable Devices such as Jump Castles, Zip Lines, Rock Climbing Structures and All Terrain Vehicles.
Please Note: this page has been designed to illustrate the highlights of this program but is not a contract. Some exclusions and coverages may be modified to meet individual state requirements. For specific details, please request a sample policy
Who is Covered?
This $1,000,000 occurrence form general liability program provides protection for your Camp, Clinic or Conference’s owners, directors, instructors, and employees against claims of bodily injury liability, property damage liability, personal and advertising injury liability, and the litigation costs to defend against such claims. There is no deductible amount for this coverage. Coverage is offered through the Sports and Recreation Providers Purchasing Group, pursuant to the Federal Risk Retention Act of 1986.
Coverage includes suits arising out of:
• Injury or death of participants
• Injury or death of spectators
• Injury or death of volunteers
• Property damage liability
• Host liquor liability (nonprofit)
• General negligence claims
• All activities necessary or incidental to conduct of activities
• Cost of investigation and defense of claims, even if groundless
• Ownership, use, or maintenance of gyms, fields or play areas
• Professional liability (involves specialized education, knowledge, labor, judgement and skill that is predominately mental or intellectual).
• Abuse or molestation limits of $100,000 per occurrence, $300,000 general aggregate. Includes alleged physical and non-physical abuse (verbal, mental or emotional abuse).
Standard additional insureds such as park districts, school districts or other venues can be added for no additional charge.