2019 Liability Insurance Coverage - Upgrade

Upgrade from Student / Intern to Pharmacist


  • CONTACT INFORMATION

  • Membership Information

  • Please include hyphen. Correct format XX - XXXX
  • Professional Liability Coverage

    Coverage period:
  • $2 Million per occurrence
    $4 Million aggregate
    _______________________
    $80.00 - Premium
    $12.00 - Insurance Tax
    $12.50 - CPBA Brokerage Fee - WAIVED as per decision of CPBA
    $12.50 - PANL Administration Fee + HST $1.88
    Total: $106.38
  • $5 Million per occurrence
    $5 Million aggregate
    _______________________
    $175.00 - Premium
    $ 26.25 - Insurance Premium Tax
    $ 12.50 - CPBA Brokerage Fee - WAIVED as per decision of CPBA
    $ 12.50 - PANL Administration Fee + 15% HST $1.88
    Total: $215.63
  • Proof of Coverage & Consent

    Section 14(e) of the Pharmacy Act, 2012 requires that "pharmacists' provide proof that he or she has obtained professional liability insurance coverage in a form and amount satisfactory to NLPB. The malpractice insurance policy purchased through PANL satisfies this requirement under the ACT.
  • I consent to be contacted directly by email by Marsh Canada Limited and/or ENCON Group Inc., concerning the professional liability insurance coverage (primary and complementary) they make available to me through the Canadian Pharmacists Benefits Association and the Pharmacists' Association of Newfoundland and Labrador, and my eligibility and application for, renewal or, such insurance coverage. I understand that I may withdraw this consent at any time.
  • I declare that the above statements are true and that I have not omitted, suppressed or misstated any material facts.
  • PAYMENT

  • Please note that this form is used for upgrading your Liability insurance from Student/Intern to Regular Pharmacist. If you have any questions, please contact PANL Office at 709-753-7881 prior to submitting. If there is an error in selecting the appropriate form and a refund is required, there will be a $25.00 administration fee applied automatically.
  • $ 0.00 CAD
  • Discover
    MasterCard
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Telephone:

(709) 753-7881

Toll Free:

(866) 753-7881

Email:

email@panl.net