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Benefits of the Program

Philadelphia Insurance Companies' Mental Health Insurance program provides liability coverage to meet the specific needs of Mental Health organizations. The policy covers vicarious liability for psychiatrists and primary professional for their Counselors & Therapists.

• Vicarious Liability for any psychiatrists while working for Insured
• Abuse and Molestation Coverage available
• Claims Made or occurrence options
• Special causes of loss on building, contents, loss of income, and extra expense
• Commercial General Liability, Professional Liability, and Excess Liability all with one carrier

• Brochure - Mental Health Organizations
• Highlight Sheet - Mental Health Organizations
• Evaluator - Mental Health Organizations
• Claim Scenarios - Mental Health Organizations

Supplemental Applications

Please select state specific forms when applicable.

• Foster Care Supplemental
  To be completed for accounts with a Foster Care exposure.
• Mental Health Organizations Supplemental Application
  To be completed for Mental Health exposures.
• Mental Health Renewal Application
  To be completed for renewing accounts with Mental Health exposures.
• Non-Owned Auto Supplemental
• Solar Panel Supplemental
• Substance Abuse Rehabilitation Supplemental
  To be completed for accounts with a drug and alcohol exposure.
• California Community Service Statement
• Massachusetts Residential Property & Liability Liquid Fuel Spill Supplemental
• Medical Professional Application
  Primary medial professional liability for individual physicians, psychiatrists, etc.
• Oklahoma Fire Application Addendum
• Winter Weather Freeze-Up Protection Supplemental

Documents Required for Proposal

• Completed, signed and dated Mental Health Supplemental Application
• Completed ACORD Application(s)
• Currently valued insurance company loss runs for the current policy period plus three (3) prior years
• Brochures and/or website information
• Copy of current Licenses if applicable
• Statement of Values
• If adoption services are provided, please complete the Adoption Agency supplemental
• If drug and alcohol services are provided, please complete the Substance Abuse Rehabilitation supplemental
• If foster care services are provided, please complete the Foster Care supplemental

Participant Accident Insurance

Participant Accident Insurance coverage is now available for this product through Philadelphia Insurance Companies' subsidiary, The Allen J. Flood Companies. Please complete the applicable application here and submit directly to info@ajfusa.com.

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