MISSOURI USDA DANCERS INSURANCE PROGRAM

EZ Address for this web page:  www.Insurance.SquareDanceMissouri.com

Missouri Federation of Square N Round Dance Clubs Inc. Requires that each member club be covered by at least a 1 million dollar Liability Insurance policy.

How to comply Options:

1.

Apply for the USDA Dancers Insurance through the Missouri Insurance Chairman.

2.

Have USDA Dancer Insurance through another Federation or Organization. (Must Notify the Missouri Insurance chairman in writing/email by November 1, 2015 of who they are insured through and number of club members. YOU MUST also send a copy of the Certificate of Insurance when you receive it to the Missouri Insurance Chairman.)

3.

Obtain private insurance through an insurance agent. (Must Notify the Missouri Insurance chairman in writing/email by November 1, 2015 of who they are insured through and number of club members. Provide a copy of Certificate of Insurance for 2016to Missouri Federation showing them as additional insured).

THESE FORMS ARE FOR USE BY MISSOURI FEDERATION OF SQUARE & ROUND DANCE CLUB, FOR USDA DANCERS INSURANCE PROGRAM.

PLEASE USE THESE ELECTRONIC FILL IN FORMS IN ADOBE .pdf FORMAT.
COMPLETE THE FILL IN FORMS AND PRINT AND MAIL TO MISSOURI INSURANCE CHAIRMAN
JIM WEBER, 1316 MIDDLEBROOK DR, LIBERTY, MO  64068-1941

The Insurance Enrollment Form and Federation or Association Club Enrollment Form with Club Roster MUST BE MAILED With Enrollment Check.
The Additional Dancer Enrollment form MUST BE MAILED With Enrollment Check.

USDA DANCERS INSURANCE FREQUENTLY ASKED QUESTIONS

You can download a FREE copy of Adobe Acrobat Reader for Viewing & Printing of Adobe PDF Files.

2019 Missouri USDA Insurance Cover Letter & Info
Insurance Program Instructions/Information
Missouri Club Enrollment Form
Missouri Club Roster Form
Missouri Club Members Insured Through Another Club Form
Missouri Additional Dancer Enrollment Form
Inspection of Premises Form
Missouri Notification of Event & Group Travel Form
Missouri Request for Certificate
Missouri Club Sponsored Class Form
Club Accident Procedures
Missouri Accident Form
Insurance Part 1 and 2 Information
USDA Insurance Program Information Trifold
Dancers Code of Ethics and Conduct Trifold
Insurance Policy in Adobe pdf Format
Complete Missouri 2019 Insurance Packet, in Adobe .pdf Format

FOR INFORMATION ADDITIONAL INFORMATION ABOUT MISSOURI USDA DANCERS INSURANCE PROGRAM, e-mail at: moinsurance@kc.rr.com

OR CONTACT OUR

MISSOURI INSURANCE COORDINATOR
JIM WEBER
1316 MIDDLEBROOK DR
LIBERTY, MO  64068-1941
(816) 781-3598 FAX: (816) 781-3041
moinsurance@kc.rr.com
 

USDA DANCERS INSURANCE PROGRAM

Every square dance organization needs General Liability and Accident Medical Expense coverage while conducting and sponsoring dance activities. As closely as safety rules are followed, accidents can and will happen. This insurance program, especially designed for USDA dance groups, provides Accident Medical insurance, which helps protect club members from financial loss due to a covered accidental bodily injury, and Liability insurance, which protects the club and its members and association officials from financial loss due to unforeseen incidents which may develop into litigation against members and dance organizations.

LIABILITY INSURANCE

Limits of protection: $1,000,000 combined single limit of liability for bodily injury and property damage per occurrence (subject to a $100 property damage deductible per claim) while participating in scheduled and sponsored dancing activities. $100,000 limit for damage to premises rented to you.

Who is covered: The club and its members while participating in club or organization sponsored and supervised dancing activities. Liability coverage applies in the United States, its territories or possessions, and Canada.

ACCIDENT AND MEDICAL INSURANCE

Limits of coverage: $10,000 Usual and Customary Accident Medical Expense, including Dental $10,000, Accidental Death Benefit $10,000, Accidental Dismemberment Benefit (loss of both hands, both feet, sight of both eyes, or any combination thereof), $5,000 Accidental Dismemberment Benefit (loss of one hand, one foot, sight of one eye).

Note: Coverage is excess to any other valid and collectible medical insurance covering the same accident. Coverage provided for covered medical expenses incurred within 52 weeks of the accident up to $10,000 for all eligible expenses as stated in the Policy.

Who is covered: Club members will be insured while participating in any regularly scheduled and sponsored dancing activity worldwide, including group travel (10 or more club members) in a vehicle commercially licensed for transportation of passengers and operated by a person holding a valid operators license for such vehicle, while being transported to or from a covered dancing activity.

What is covered: Accidental bodily injury sustained by an insured person while participating in dancing activities sponsored and supervised by a recognized club or organization.

Period of coverage: The insurance year is January 1 through December 31. Coverage becomes effective for individual clubs under the policy on the day the application and premium for insurance is received by the USDA National Insurance Coordinator. There is no pro-rate provision. This is necessary due to the large administrative expense of maintaining different policy dates

9/26/18