01245 321 185

CSP Members Application for Increased Limits of Indemnity

Date: 21/01/2019

Members of the Chartered Society of Physiotherapy Application for Increased Limit of Indemnity
The Top-up cover increases the individual limit of indemnity for each claim insured under the CSP members PLI policy and is subject to the same policy terms, conditions and exclusions
Limits of Indemnity
- GBP £10 Million Any One Claim (AOC)
- GBP £10 Million in the Annual Aggregate (AGG)

Annual Premium
£252.00 including 12% insurance premium tax (a discounted premium applies for applications received after 1st October each year)
Bank Transfer
Please use your name as the payment reference

Name: The Medical Professional Liability Company Limited
Sort Code: 60-95-44
Account Number: 39047562

Cheque

Cheques should be made payable to The Medical Professional Liability Company Limited and posted to Graybrook Insurance Brokers Limited, 8 Chandlers Way, South Woodham Ferrers, Essex CM3 5TB
Please Note
As this is an extension of the CSP membership insurance scheme, all insurance regardless of start date will expire on the 30th June each year to coincide with the CSP's master PLI Policy
Underwriting Criteria
Additional Information / Material Facts
There are notable exclusions regarding the treatment of Animals, Professional Footballers, and Acupuncture used for Fertility Treatment.

Full details of the cover and terms may be viewed on our website www.graybrook.co.uk/top-up
Declaration
Please acknowledge acceptance of the following:

Important Information

Personal Data
The insurer for policies underwriting this scheme is The MPLC Limited. The scheme is administered on their behalf by Graybrook Insurance Brokers Limited.

To arrange and administer your policy The MPLC Limited and Graybrook Insurance Brokers Limited will hold and use information supplied by you, in accordance with U.K. Data Protection Laws and General Data Protection Regulation (GDPR). Full information and your rights about the personal data we collect and process can be found in our Privacy Notice which is available on request and online at www.graybrook.co.uk. A copy of the Privacy Notice will also be included in your quotation/renewal pack.
Unless you select one of these options we will not be able to send information on any of our other insurance policies or services.
We will not sell or pass your information to other organisations for marketing purposes.

CUE - Insurers pass information to the Claims and Underwriting Exchange register, run by Insurance Database Services Limited (IDS Ltd). The aim is to help us to check information provided and also to prevent fraudulent claims. When we deal with your request for insurance, we may search the register. When you tell us about an incident which may or may not give rise to a claim, we will pass information relating to it to the register. You can ask for more information about this.

IPT - Insurance Premium Tax
The Finance Act 1994 requires us to levy Insurance Premium Tax at the prevailing rate on insurance premiums. For further information, please ask us.

LAW APPLICABLE
The parties to the policy have the right to choose the law applicable to the Policy. Unless the parties agree otherwise English Law shall apply

This Scheme is administered by:
Graybrook Insurance Brokers Limited, 8 Chandlers Way, South Woodham Ferrers, Essex, CM3 5TB
Web: www.graybrook.co.uk - Email: enquiry@graybrook.co.uk - Tel: 01245321185 - Fax: 01245 322240
Graybrook Insurance Brokers Limited is Authorised and regulated by the Financial Conduct Authority. Registered No. 595238


This scheme is underwritten by:
The MPLC Limited. The MPLC Limited is licensed in Gibraltar by the
Financial Services Commission.
The Medical Professional Liability Company Ltd (“The MPLC”) is an underwriting intermediary licensed in Gibraltar by the Financial Services Commission, under licence number FSC00659B. The MPLC's insurances underwritten by certain underwriters at Lloyd's or by Ironshore Europe Designated Activity Company. All indications, quotes, acceptances of proposals and issuances of policies are from The MPLC in Gibraltar.

In the event that your email communication to us includes personal data of third parties, including personal data in the special categories, you must ensure that you are compliant with your legal obligations arising from the EU General Data Protection regulation (“GDPR”) or equivalent local legislation. A statement of these obligations on which we shall rely and the data processing carried out by the MPLC can be found at www.the-mplc.com/privacy.php