NASF - Clinic Insurance

LIMITS:
$2,000,000 - General Liability per Occurrence/Unlimited Aggregate
$250,000 - Sexual Abuse/Molestation Per Person/$500,000
$100,000 - Excess Accident Medical Benefit ($0 Deductible)
$5,000 - Accidental Death & Dismemberment Benefit

Classroom Only - $0.50 per participant per day
Instructional /Playing - $1.00 per participant per day
$125.00 minimum premium charge per clinic

MEDICAL EXCLUSIONS:
No benefits will be paid for a loss caused by or resulting from:
1. dental treatment, except as a result of injury to sound, natural teeth;
2. services or treatment rendered by a doctor, or nurse who is the insured or a member of his/her immediate family;
3. war or any act of war;
4. any intentionally self-inflicted injury;
5. charges that are not usual and reasonable for services in the geographic area where performed;
6. sickness or disease. "For a complete list of all exclusions, please refer to the Policy".

Note: Written notice of cliam must be given to Us within 20 days after the covered loss occurs or begins or as soon as reasonably possible. "You will receive claim forms when your certificates of insurance are issued."

1. Enroll online and pay by Credit Card - Click here for online form!
2. FAX completed form with Credit Card information - Click here to download PDF form!
3. Mail completed form with check - Click here to download PDF form !