Balens Policy Details

 

Clinical Association of Reflexologists

 Block Insurance Scheme
Policy runs from 09^th June 2015- 8^th June 2016

If you are joining this scheme three months or more after the above start date, please see the short period rate table below.

 

Premiums include Insurance Premium Tax/Levy, DAS Legal Expenses Package, and Balen Admin/Doc fee of 0-£30 which applies to the Malpractice element of the policy only

 

SHORT PERIOD RATE TABLE FOR NEW MEMBERS

• Your Scheme has common renewal date for all Members of 09^th June.
• In order to take your cover round to this date, the premiums reduce according to when you join as per the table below.

DATE:	9 Jun-8 Sept	9 Sept – 8 Dec	9 Dec – 8 Mar	9 Mar – 8 Jun
£4M Full Practitioner	£48.00	£38.00	£26.00	£19.00
£4M Student	£16.00	£13.00	£9.00	£5.00

IMPORTANT NOTE

Please note that you must belong to the Association in order to take out this policy. If you do not or you do not renew with them the insurance could be declared void.

 

NO CLAIMS DECLARATION

I HEREBY DECLARE AND WARRANT that I have never been convicted of any criminal offence, other than motoring offences, or offences that are spent under the Rehabilitation of Offenders Act 1974, and there are no prosecutions pending. No insurer has ever cancelled, declined or refused to renew a policy. I have had no claims, or circumstances, which could give rise to a claim under the policy involving negligence, error or omission, and I am not aware of any circumstances which may result in a claim or suit being made against me. By signing the form below I confirm that the above statements & particulars are in all respects complete and true, that they are material, and that I have not suppressed or misstated any material facts. This means that you should not withhold or misrepresent any facts which are likely to influence the Company’s assessment and acceptance of this proposal. You have a duty to disclose them and failure to do so could invalidate the insurance cover.  I agree that this form shall be the basis of the Contract with Underwriters & deemed part of the insurance coverage issued to me. I can also confirm that I have read, understood and agree to accept the Balens Terms of Business letter attached.
A specimen policy wording is available on request at all times.

 

Signed      …………………………………………………………………………………………           Dated ……………………………….. 2015/16

 

 

            Title …………  Surname   ……………………………………………….  First name…………………………………….

 

            Address ………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………..

 

              Phone Number …………………..……….. Email ……………………………………………………………

 

Please state the therapies that you require cover for, subject to suitable qualifications held, in the box below. Please enclose copies of all qualifications.

For the purpose of insurance only, The Clinical Association of Reflexologists is an Introducer Appointed Representative of Balens Limited, Bridge House, Portland Road, Malvern, WR14 2TA, who are authorised and regulated by the Financial Conduct Authority.

 

 

 

Standard Therapies covered, strictly subject to suitable qualifications held:

If you are adding any new therapies, please also enclose copies of your qualifications.

Our policies are multi therapy, and we understand that you may require other techniques, such as nutritional advice, acupuncture, injections etc. which were included within the syllabus of your training and professional qualification.

For the purpose of correct rating and underwriting your malpractice insurance with Balens, we do need you to indicate these on the list below, so that we can state them on your policy schedule.