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Who Is Covered
This program provides
protection for the
Policyholder against
claims of bodily injury
liability, property
damage liability and the
litigation costs to
defend against such
claims. Coverage is
provided up to
$1,000,000 per
occurrence and
$1,000,000 general
aggregate (To purchase a
$2 million general
aggregate limit please
increase the liability
premium by 5%.) There is
a $500.00 deductible for
property claims.
Coverage is offered
through the Sports and
Recreation Providers
Risk 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
(non-profit)
-
Incidental medical
malpractice
-
All
activities necessary
to conduct of
practices and games
-
Ownership use or
maintenance of
fields or practice
areas
-
General negligence
claims
-
Cost
of investigation and
defense of claims,
even if groundless
-
Optional sexual
abuse and
molestation
-
Optional hired and
non-owned automobile
liability coverage
Program Limits
Occurrence Form Policy
-
$1,000,000.00
General Aggregate
-
$1,000,000.00 Each
Occurrence
-
$1,000,000.00
Products / Completed
Operations
-
$1,000,000.00
Personal &
Advertising Injury
-
$100,000.00 Fire
Damage
-
Optional $100,000.00
Sexual Abuse and
Molestation Coverage
-
Optional
$1,000,000.00 Hired
and Non-Owned
Automobile Coverage
-
$5,000.00 Medical
Expense for
Spectators
-
No
Deductible for
Bodily Injury Claims
-
Includes Coverage
for Acts of
Terrorism
Exclusions
Assault and battery,
corporal punishment,
fraudulent or dishonest
acts, asbestos
liability, punitive or
exemplary damages,
employment related
practices, professional
liability, total
pollution, fireworks and
pyrotechnics, nuclear
energy liability and
liability for
occurrences prior to the
effective date of
coverage. All of the
above are subject to the
terms and conditions of
the policy.
Note:
There is no liability
coverage for claims
arising out of any of
the following
activities: Tackle
Football, Ice Hockey,
Roller Hockey, Polo,
Skin Diving, Boxing,
Bungee Jumping, Motor
Sports, Waterslides,
Mountain Climbing,
Skateboarding, Rugby,
Gymnastics, Wrestling,
Snow Skiing, Water
Skiing, White Water
Rafting, Mountain
Boarding, Snow Boarding,
Inline Skating, Water
Polo, Ropes Courses,
Rock Climbing, Kayaking,
Boating, Rodeo or any
other Saddle Animal
Exposures.
There is
no liability coverage
for claims arising out
of the use of any of the
following: Trampolines,
Portable Rock Climbing
Walls, Inflatables or
Tanning Devices.
Participant Accident
Protection Program -
Part 1
Who Is Covered
All participants,
volunteer workers and
staff members of the
Policyholder are covered
while participating in
sponsored and supervised
Covered Activities and
while traveling,
directly and without
interruption, to and
from any Policyholder
sponsored and supervised
Covered Activity and
their homes or places of
residence.
Accidental Death,
Dismemberment, Paralysis
and Brain Death Benefit
If a Covered Accident
results in any of the
Covered Losses specified
below within one year of
the date of the Covered
Accident, Berkley Group
will pay the applicable
amount.
-
Double Principal Sum
for quadriplegia
($50,000.00)
-
Full
Principal Sum for
loss of life
($25,000.00)
-
Full
Principal Sum for
paraplegia
($25,000.00)
-
Full
Principal Sum for
hemiplegia
($25,000.00)
-
Full
Principal Sum for
loss of both hands
or both feet
($25,000.00)
-
Full
Principal Sum for
loss of use of both
hands or both feet
($25,000.00)
-
Full
Principal Sum for
loss of entire sight
of both eyes
($25,000.00)
-
Full
Principal Sum for
loss of one hand and
one foot
($25,000.00)
-
Full
Principal Sum for
loss of one hand and
entire sight of one
eye ($25,000.00)
-
Full
Principal Sum for
loss of one foot and
entire sight of one
eye ($25,000.00)
-
Full
Principal Sum for
loss of speech and
hearing in both ears
($25,000.00)
-
50%
of the Principal Sum
for uniplegia
($12,500.00)
-
50%
of the Principal Sum
for coma
($12,500.00)
-
50%
of the Principal Sum
for brain death
($12,500.00)
-
50%
of the Principal Sum
for loss of one hand
($12,500.00)
-
50%
of the Principal Sum
for loss of one foot
($12,500.00)
-
50%
of the Principal Sum
for loss of sight of
one eye ($12,500.00)
-
50%
of the Principal Sum
for loss of speech
($12,500.00)
-
50%
of the Principal Sum
for loss of hearing
in both ears
($12,500.00)
-
50%
of the Principal Sum
for severance and
reattachment of one
hand or foot
($12,500.00)
-
25%
of the Principal Sum
for loss of index
finger and thumb of
same hand
($6,250.00)
-
25%
of the Principal Sum
for loss of all four
fingers of the same
hand ($6,250.00)
-
20%
of the Principal Sum
for loss of all toes
of the same foot
($5,000.00)
-
10%
of the Principal Sum
for loss of thumb
($2,500.00)
Except
for the payment of
benefits for
Quadraplegia, if the
Covered Person sustains
more than one Covered
Loss as a result of the
same Covered Accident,
the total of Benefits
Berkley Group will pay
will not exceed the
Principal Sum. If a
Covered Accident causes
the Covered Person�s
death, the total of all
Benefits Berkley Group
will pay for Accidental
Death and any other
Covered Losses will not
exceed the largest
Benefit payable for a
Covered Loss.
Loss of a
Hand or Foot means
complete Severance
through or above the
wrist or ankle joint.
Loss of Use of a Hand or
Foot means total loss of
all ability to move the
hand or foot, that
occurs within 60 days of
a covered Accident,
continues for 12 months
and is expected to
continue for the
remainder of the Covered
Person�s lifetime. Loss
of Sight means the
total, permanent loss of
all vision in one eye
which is irrecoverable
by natural, surgical or
artificial means. Loss
of Speech means total
and permanent loss of
audible communication
which is irrecoverable
by natural, surgical or
artificial means. Loss
of Hearing means total
and permanent loss of
ability to hear any
sound in both ears which
is irrecoverable by
natural, surgical or
artificial means. Loss
of a Thumb and Index
Finger of the Same Hand
or Four Fingers of the
Same Hand means complete
Severance through or
above the
metacarpophalangeal
joints of the same hand
(the joints between the
fingers and the hand).
Loss of Toes means
complete Severance
through the
metatarsalphalangeal
joint. Quadriplegia
means total Paralysis of
both upper and both
lower limbs. Paraplegia
means total Paralysis of
both lower limbs or both
upper limbs. Hemiplegia
means total Paralysis of
the upper and lower
limbs on one side of the
body. Uniplegia means
total Paralysis of one
upper or one lower limb.
Coma means a profound
state of unconsciousness
which resulted directly
and independently from
all other causes from a
Covered Accident, and
from which the Covered
Person is not likely to
be aroused through
powerful stimulation.
This condition must be
diagnosed and treated
regularly by a
Physician. Coma does not
mean any state of
unconsciousness
intentionally induced
during the course of
treatment of a Covered
Injury unless the state
of unconsciousness
results from the
administration of
anesthesia in
preparation for surgical
treatment of that
Covered Accident.
Participant Accident
Protection Program -
Part 2
Maximum Medical Expense
Benefit
If a Covered Person
incurs Covered Expenses
for treatment of an
injury that resulted
from a Covered Accident,
within 52 weeks of the
Covered Accident,
Berkley Group will pay
the applicable amounts,
not to exceed the
Maximum Accident Medical
Expense Benefit of
$50,000. The first such
Covered Expense must be
incurred within 90 days
after the date of the
Covered Accident.
Excess Coverage:
Berkley Group will pay
Covered Expenses after
the Covered Person has
satisfied any applicable
Deductible, and only
when they are in excess
of amounts payable by
any Other Health Care
Plan available to the
Covered Person whether
or not claim has been
made for benefits it
provides.
Exclusions and
Limitations
This Plan does not cover
any loss to or resulting
from:
-
Sickness, disease,
bodily or mental
infirmity, bacterial
or viral infection
or medical or
surgical treatment
thereof, except for
any bacterial
infection resulting
from an accidental
external cut or
wound or accidental
ingestion of
contaminated food.
-
Use
of drugs or
narcotics, unless
administered under
the advice of a
Physician.
-
War
or any act of war,
whether or not
declared.
-
Participation in any
riot or
insurrection.
-
Air
travel or the use of
any device or
equipment for aerial
navigation, except
as a fare-paying
passenger on a
regularly scheduled
commercial airline.
-
Suicide or
self-inflicted
injury, or any
attempt thereat.
-
Medical service
provided by any
person or facility
employed or retained
by the Policyholder.
-
Medical service
provided by any
member of the
Covered Person's
household.
-
Dental treatment,
except as the result
of a Covered
Accident.
-
The
repair or
replacement of any
artificial dental
restoration.
-
Expenses payable
under any Workers'
Compensation Law or
similar legislation.
-
Injury sustained
while riding in or
on any off-road
motorized vehicle.
Summary
of Coverage
General Liability
Protection Program
-
$1,000,000.00
General Aggregate
-
$1,000,000.00 Each
Occurrence
-
$1,000,000.00
Products / Complete
Operations
-
$1,000,000.00
Personal and
Advertising Injury
-
$100,000.00 Fire
Damage
-
$500.00 Deductible
Amount for Property
Damage Claims
-
$-0-
Deductible Amount
for Bodily Injury
Claims
-
Occurrence Form
Policy
-
Non-Admitted Basis
Coverage
Afforded by Capitol
Specialty Insurance
Corporation, 'A+' rated
by A.M. Best Company.
Participant Accident
Protection Program
-
$50,000.00 Maximum
Medical Expense
Benefit
-
$25,000.00
Accidental Death &
Dismemberment
Benefit
-
$50.00 Deductible
Amount
-
52
Week Benefit Period
-
Excess Coverage
Coverage
is afforded by Berkley
Group of Companies, 'A+'
rated by A.M. Best
Company.
Policy
Term
Single Event Policy Term
Premium Cost and
Optional Coverages
No Charge for Additional
Insureds (Park
Districts, School
Districts, etc.)
$5.00 Per Athlete -
Liability
$2.00 Per Athlete -
Accident
Minimum Premium is
$500.00 Per Event
Coverage is provided up
to $1,000,000 per
occurence and $1,000,000
general aggregate (To
purchase a $2 million
general aggregate limit
please increase the
liability premium by
5%.) There is no
deductible amount.
Coverage
for Sexual Abuse and
Molestation is available
for an additional
premium of $1,250.00.
Please Note: If sexual
abuse and molestation
coverage is purchased, a
sub limit of $100,000.00
per
occurrence/$100,000.00
aggregate applies.
Hired and
non-owned automobile
liability coverage with
a $1,000,000.00 limit is
available for an
additional $1,250.00.
Hired and non-owned
automobile liability
coverage provides
protection for rented,
borrowed and other
non-owned vehicles
driven on Policyholder
business.
An
additional $1,000,000.00
of liability coverage is
available for $1,250.00.
An
additional $2,000,000.00
of liability coverage is
available for $2,500.00.
Expanded Medical Benefit
(Multiply
Above Accident Premium
by 1.05): The policy
will include coverage
for Covered Expenses
resulting from
conditions (such as
blisters, tennis elbow,
heat exhaustion, hernia,
shin splints, bursitis,
stress fractures,
chronic soreness or
pain, tendonitis, etc.),
which are a normal,
foreseeable
result of a Covered
Activity covered under
the terms of the policy.
Heart
or Circulatory
Conditions Benefit
(Multiply Above Accident
Premium by 1.05): The
policy will include
coverage for Covered
Expenses incurred by a
Covered Person as a
result of heart or
circulatory conditions
that: Occur and manifest
themselves while
participating in a
Covered Activity (or
within 24 hours after
participation); and The
Covered Person has
neither received nor
been advised to have any
medical treatment for
the condition. If the
Covered Person suffers
loss of life resulting
from the heart or
circulatory condition
within 90 days from the
date of participation in
the Covered Activity,
the benefit amount for
Loss of Life, as shown
under the Accidental
Death & Dismemberment
Benefit, will be
payable.
Pre-existing Injury
Benefit (Multiply
Above Accident Premium
by 1.15) The policy will
include coverage for
Covered Expenses
resulting from
re-aggravation of an
injury that occurred
prior to the effective
date of
this policy. In order to
be eligible for this
coverage, the Covered
Person must: Have
received a written
medical clearance from a
Doctor to participate in
the Policyholder's
Covered Activity; and be
participating in
the Policyholder�s
Covered Activity when
the re-aggravation
occurs.
Short-Term Emergency
Sickness Benefit
(Multiply Above Accident
Premium by 1.95) The
policy will include
coverage for Covered
Expenses incurred by a
Covered Person as a
result of an Emergency
Sickness while
participating in a
Policyholder's
short-term Covered
Activity. "Emergency
Sickness" means an
illness or disease
diagnosed by a Physician
which causes a severe or
acute symptom that, if
not provided with
immediate treatment,
would reasonably be
expected to result in
deterioration of a
Covered Person's health
or place his life in
jeopardy; and which
first manifests itself
suddenly and
unexpectedly while a
Covered Person is
participating in a
Covered Activity.
"Covered Expenses" means
charges incurred for
treatment of an
Emergency Sickness that
would have met the
definition of Covered
Expenses applicable to
treatment of injuries
sustained in a Covered
Accident, had they been
incurred for a Covered
Accident rather than an
Emergency Sickness. Any
expenses that are not
Covered Expenses under
the Accident Medical
Benefits section of the
policy will not be
considered Covered
Expenses under the
Emergency Sickness
Benefit. All related
conditions and recurring
symptoms of the
Emergency Sickness will
be considered one
sickness. The coverage
is subject to the
Deductible (if any) and
subject to a $2,500.00
maximum benefit for each
sickness.
$5,000.00 Maximum
Medical Expense Benefit
(Multiply Above Accident
Premium by 0.65). The
policy's maximum medical
expense benefit will be
reduced from $10,000 to
$5,000 per injury. The
liability coverage
however will not be
available as the
liability insurance
requires that there is
an underlying accident
medical policy with at
least a $10,000 benefit. |