2014-566-E Health - Rachel Sigmon for Dental Services $35,000

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FORTRESS • The named insured entity or additional insured entity operating as a d/b/a is considered a person insured. • The officers,directors,or partners of a named insured entity are considered persons insured as outlined in the policy. • The definition of Insured Employee(s)has been updated to clarify that CRNAs or any other licensed healthcare professional(s)authorized to provide healthcare services without the supervision of a dentist, other than a licensed dental hygienist,are not an insured employee. Section IV. Limits of Liability(Title Change Only—Formerly called Limits of Coverage) Section V. Exclusions • Exclusion G.was modified to include disposing,altering and dispensing of any product or medical devices.This exclusion does not apply to liability arising out of the dispensing of pharmaceuticals or dental appliances to their own patients. • Exclusion I. has been updated to include coverage for monitoring or supervising any intern, extern or resident in a formal training program provided that the individual maintains coverage through the program,the named insured dentist does not enter into a contract to indemnify any entity or individual for the acts or omissions of the individual being monitored or supervised and the named insured dentist does not maintain coverage for this activity. • Exclusion K. excludes liability of an insured as an operator,director,superintendent,or executive officer of any hospital, nursing home,sanitarium,assisted care facility,clinic with bed and board facilities, laboratory, imaging facility,or business enterprise. This exclusion does not apply to laboratories or imaging facilities used for the treatment of the insured's own patients. • Exclusion L.addresses claims of fraud, conspiracy, collusion,deceptive trade practices,and false advertising. • Exclusion M. excludes obligations for worker's compensation,occupational diseases, unemployment compensation and disability benefits. • Exclusion N. clarifies that the administration of anesthesia is only covered when provided by an Anesthesia Professional as defined by this policy. • Exclusion P. excludes bodily injury arising from pollutants and radioactive,toxic, explosive, hazardous,or nuclear property and materials as outlined in the policy. Section Vl. Definitions ■ The definitions found on Page 3 are now arranged in alphabetical order for ease of reference. Defined words are shown in bold type. Please review the definition section carefully in conjunction with this notice.Of particular note: • The definition of Professional Services replaces the current definition of Dentistry. • A new definition has been added to define the term Retirement. • A new definition has been added to define the term Affiliate Dentist(applicable to Fortress Entity — Polity-o ly). - Section VII. Insured's Duties • In order to report a claim,the named insured must submit a written report to Fortress. • Notification of address changes must be sent to Fortress via registered mail during pending claims. Section VIII.Conditions • Condition D. permits contribution in equal shares,or according to proportional limits,when an insured has another insurance policy. • Condition I.the Fortress policy is not assignable. Section IX. Extended Reporting Endorsement(This section is only applicable to a Claims Made Policy) ■ The named insured is provided the greater of 60 days from the termination date, or 30 days from the date of mailing or delivery of notice to purchase an extended reporting endorsement. Section X. Privacy Notice(This section replaces the Business Associate Agreement) CN-NC(01/14)