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SAOT Application Form

You must be a paid member of SAOT to purchase these insurance plans. Please note that the SAOT liability insurance plan runs from March 1 and renews March 1 of the following year. Any plan purchased after March 1 will not be back dated. Half term applications are available starting on September 1. Renewals are for March 1 and will be available starting on January 1 each year.

New Program Enhancements:

  1. If you are a new graduate that is in, or starting, their first year of coverage you will be eligible for a 50% premium discount.
  2. If you are a new graduate that is in, or starting, their second year of coverage you will be eligible for a 25% premium discount.
  3. If you are on maternity/parental leave and working less than 6 consecutive months during the membership year, you will be eligible for a 50% premium discount.
PRORATED PREMIUMS

Prorated (half term) premiums will be available effective September 1 for applications on or after September 1. Coverage will be effective until March 1 the following year. Please contact us directly if you have any questions regarding the upcoming prorated premiums. Insurance premium payments are 100% earned from the date of purchase.

Application Type

Please select the type of application you are submitting and then fill out the application form below.

Renewal Application
Choose this option if you are an existing member that already has coverage and are renewing your application for coverage next term.
New Application
Choose this option for coverage starting immediately, or if you are a new applicant that does not have current coverage.
Half Term Application
Choose this option for coverage starting immediately, or if you are a new applicant that does not have current coverage.

General Information

Current Date
June 19, 2019

Additional Information

Program Plans

Please select the program plan you wish to purchase:

Plan Option 1 $125.00
  • Professional Liability — $10,000,000 each claim and aggregate
  • Penal Legal Costs — $300,000
  • Disciplinary Legal Costs — $300,000
  • Security & Privacy Liability — $50,000

Plan Option 2 $75.00
  • Professional Liability — $6,000,000 each claim and aggregate
  • Penal Legal Costs — $300,000
  • Disciplinary Legal Costs — $300,000
  • Security & Privacy Liability — $50,000

Commercial General Liability Coverage

Please select the CGL coverage you wish to purchase:

No Coverage

Choose this option if you do not wish to add CGL coverage to your purchase.

Option 1: $2,000,000 $140.00
  • General Liability — $2,000,000 (This plan protects you from a wide variety of claims including bodily injury.)
  • Property Damage and Libel and Slander

Option 2: $5,000,000 $220.00
  • General Liability — $5,000,000 (This plan protects you from a wide variety of claims including bodily injury.)
  • Property Damage and Libel and Slander

Additional Coverages

$45.00  Personal Corporate Coverage

If you operate your business in a personal corporation your limited company will likely be named in any lawsuit. As the Professional and General Liability policies protect occupational therapists, this low cost extension will also protect and defend your named corporation.

Other Program Options

Please indicate if one of the following scenarios applies to you. The applicable premium discount will be applied on the next step.

 New Graduate (First Year)

You are a new graduate that is in, or starting their first year of coverage. If this applies to you, then you will be eligible for a 50% premium discount.

 New Graduate (Second Year)

You are a new graduate that is in, or starting, their second year of coverage. If this applies to you, then you will be eligible for a 25% premium discount.

 On Maternity/Parental Leave

You are on maternity/parental leave and working less than 6 consecutive months during the membership year. If this applies to you, then you will be eligible for a 50% premium discount.

Applicant's consent to the transmission of the information contained in the application form

I hereby acknowledge that the information collected in the Application form is acquired by my insurance broker to be transmitted to Intact Insurance for the sole purpose of obtaining an insurance policy, and will be kept confidential.

Moreover, I authorize Intact Insurance, its insurers or service Providers to:

- conduct verification, using outside sources, of the information contained in the Application form, in attached documentation and in subsequently provided documentation;

- in the event of a claim, transmit the submitted and verified information to loss adjusters, lawyers or other similar offices for the purposes of investigating, defending, negotiating or settling any claims, as required.

For more information on Intact Insurance's privacy policy, please contact privacy@intact.net.

Declarations and Signature

By submitting this application for insurance, the applicant declares that, to the best of his/her knowledge and belief, the statements set forth herein are true and correct and that reasonable efforts have been made to obtain sufficient information to facilitate the proper and accurate completion of this Application form. The applicant further agrees that if any significant change in the condition of the Applicant is discovered between the date of this Application form and the effective date of the policy, which would render this Application form inaccurate or incomplete, notice of such change will be reported immediately in writing to the Insurance Manager.

Although submission of this Application form does not bind the Applicant to Purchase the insurance, the Applicant agrees that this form and the information furnished pursuant hereto shall be the basis of the contract should a policy be issued and this form will become part of the policy.

It is also agreed that should a policy be issued, it is understood that eligibility for this program is contingent upon membership in good standing in the Society of Alberta Occupational Therapists.