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Professional Liability Insurance for Members of the Intrinsic Biomechanics Association (IBA)

Date: 16/10/2019

Your Information
The policy provides liability arising from activities as a Trainee or Qualified Biomechanics coach. Where qualifications are also held in other activities they can also be included (subject to acceptance) except Trainees where extra activities can only be added after cover has been upgraded following qualification as a Biomechanics Coach. Cover to train others also available on request

Please specify below all activities for which cover is required, and whether you also require cover for training
Limits of Indemnity & Cover Options
Professional Liability Insurance - Limit of Indemnity provided under current scheme is £5,000,000 any one claim
Note: this option is not available in isolation
The Employers PAYE reference number is usually in the format of either NNN/Aannnnn or NNN/Annnnn, where N/n is a number and A/a is a letter (e.g. 012/Ab34567)
Disclosure of Material Facts Declaration
Please answer the following:

Please note that cover will not commence until our Quotation has been issued and accepted. The policy will run for 12 months from the agreed date.
Please acknowledge acceptance of the following:
Important Information

Personal Data
The insurers for policies written under this scheme are AXA Insurance UK plc (AXA). The scheme is administered on their behalf by Graybrook Hallam.

To set up administer your policy AXA and Graybrook Hallam will hold and use information about you supplied by you. They may send it in confidence for processing to other companies acting on their instructions including those located outside the European Economic Area.

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 (such as fire, water damage or theft) 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.