WSFCCA MEMBERSHIP and ACCIDENTAL/MEDICAL APPLICATION

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1 WSFCCA MEMBERSHIP and ACCIDENTAL/MEDICAL APPLICATION Christine Price, President Lorri Hope, Treasurer & Membership

2 Washington State Family Child Care Association A United Voice Strengthening Providers, Encouraging Professionalism and Promoting Excellence in Child Care WSFCCA is a nationally respected professional, non profit organization of licensed family child care providers in Washington State. Our Mission is to educate, protect and give status to licensed family child care providers. Through publications, meetings, training and networking, child care providers are kept informed of issues pertaining to child care. The Association is a means of bringing the concerns and voices of all providers together in order to share ideas, resources, and to problem solve. Each chapter reflects the diverse issues of the providers in that area. Check out our membership benefits and contact a chapter near you. WSFCCA Values... Respect for all Diversity of people and ideas Integrity among licensed providers and those to whom they provide service and support Excellence in teaching through playful experiences Trust in all professional situations

3 WSFCCA Membership Benefits Discount on Biennial WSFCCA Conference Member s listing of their child care business on WSFCCA website Providers in Olympia testifying on legislation that affect our profession Providers working on regulations Quarterly Newsletters Access to dental/individual health insurance and AFLAC WSFCCA group rate Supplemental Accidental/Medical Insurance for child care children The Children s Alliance The Early Learning Action Alliance The Early Learning Advisory Council NAFCC, WAEYC & NAEYC Affiliations Pay Membership Dues by Check or Pay Online with Credit or Debit Card at WSFCCA is pleased to offer payments for Membership and Accidental Medical Insurance through PayPal for your convenience. Go to wsfcca.com and fill out your online membership application. (Please note, there is a small service charge included in your payment if you choose to pay with PayPal. See the total amount including the fee listed directly under each Chapter.) Why Should a Provider Carry Accidental/Medical Insurance? THIS IS NOT LIABITIY INSURANCE. Many of our members carry this valuable, affordable insurance. It is the most important insurance a provider can take to protect him/herself against an accident on his/her premises for a child, parent, or assistant getting hurt and needing medical care. We encourage providers to consider this membership benefit. Accident claims must be filed within 90 days of the incident in order for the claim to be covered.

4 WSFCCA MEMBERSHIP APPLICATION Name Business Name Address City State Zip Phone STARS ID CHECK ONE FULL MEMBER (Holds a valid child care license) ASSOCIATE MEMBER (spouse, assistant, retired) AUXILARY (supporter) CHOOSE YOUR CHAPTER (SEE CHAPTER) CHAPTER DUES FOR THAT CHAPTER _ ACCIDENTAL/MEDICAL INSURANCE (THIS IS NOT LIABILITY INSURANCE) $50.00 PER YEAR FOR UP TO 12 CHILDREN OCT 1, 2013 SEPT 30,2014 This Accidental Insurance is a secondary coverage to the parent's Insurance. It will pick up what the parent s insurance won t cover or all costs if there is no insurance. See wsfcca.com for more information and to read the Policy. Contact Lori Hope immediately should an accident happen. CHAPTER DUES ACCIDENTAL/MEDICAL TOTAL DUE Visit wsfcca.com to use PayPal and pay by credit card or Mail Checks or Money Orders (PLEASE NO CASH) CHECK NUMBER $50.00 NSF CHECK CHARGE Make checks payable to WSFCCA and mail to WSFCCA Lorri Hope, Treasurer Arena Rd, Richland, WA 99352

5 APLICACIÓN PARA MEMBRESIA DE WSFCCA Nombre Nombre de la Empresa Dirección Ciudad Estado Teléfono Código Postal Correo Electrónico Número de STARS MARQUE UNO MIEMBRO COMPLETO (posee una licencia de cuidado infantil válido) MIEMBRO ASOCIADO (esposo(a), asistente, and jubilado) AUXILIAR (partidiario) ESCOJA SU CAPÍTULO (GRUPO) (VEA LA LISTA DEL CAPÍTULO EN LA). Nombre del Capítulo (Grupo) LAS CUOTAS PARA ESE CAPÍTULO _ SEGURO DE ACCIDENTE/MÉDICO (ESTO NO ES UN SEGURO DE RESPONSABILIDAD) $50 dólares por año hasta 12 niños (1 de Octubre, de Septiembre, 2014) Este seguro de accidente es una cobertura secundaria al seguro de los padres. Cubrirá todo lo que el seguro de los padres no cubra o todos los gastos si no hay ningún otro seguro. Vea WSFCCA.com para mayor información y para leer la póliza. Póngase en contacto con Lori Hope inmediatamente en caso de que ocurra un acidente. COSTO POR CAPÍTULO ACCIDENTE/MÉDICO COSTO TOTAL Vaya a wsfcca.com use PayPal y pague con tarjeta de crédito cheques o giros POR FAVOR NO ENVIE EFECTIVO. NÚMERO DE CHEQUE $50 de tarifa por todo cheque sin fondo. ESCRIBA EL CHEQUE A NOMBRE DE WSFCCA Y EVÍELO A: WSFCCA Lorri Hope, Treasurer, Arena Rd, Richland, WA 99352

6 LIABILITY INSURANCE Washington State Family Child Care Association encourages all providers to carry liability insurance. WSFCCA does not endorse any specific liability insurance company. You will find a list of carriers below. You must do your own research to know what you need and what the different companies offer. Adult and Children's Alliance Morgan and Associates, Inc. Thomco (AFDS) Tom Taylor Insurance Michael Wells Insurance Ruth Dalenius Agency/Farmers Dental Insurance Dental Health Services Contact information Servicing Agent Toby Miller ext or tmiller@dentalhealthservices.com Health Insurance Available Lifewise of Washington is an Insurance option available for members, their spouses and their families. Cameron Strong is the Agent for WSFCCA members. He can be reached at his office at Cameron's is camstrong1@comcast.net. Visit Lifewise, and take a look at their many options available to suit your needs. WSFCCA Members Can Enroll In Aflac Benefits Aflac benefits pay cash directly to you and does not duplicate major medical. This is important benefit as many of us have co- pays, deductibles and lost wages that may result from an illness or injury. There are many policies to choose from and many different degrees of coverage. Aflac benefits pay you regardless of any other coverage you have, are tax free and belong to you at a group Association rate. If you have employees, we can offer you an expanded package. Your ability to work is your greatest asset and you can protect that by choosing an Aflac benefit that will pay you directly. For more information please contact Lynn at or visit our website www. aflac.com

7 WSFCCA Executive Board Christine Price, President Pamela Carino, Vice President Katie Reading, Secretary Lorri Hope, Treasurer Wendy Avery, 5th Exec Board Executive Board BENTON- FRANKLIN $25.00 Lorri Hope (509) COLUMBIA RIVER Vancouver $20.00 Tekla Frederick COWLITZ $45.00 Barb Sterling EAST KING $90.00 Wendy Avery NON- CHAPTER $66.00 Lorri Hope NORTH SNOHOMISH $75.00 Mickey McDonald SKAGIT $45.00 Amber Rooks SKY VALLEY $50.00 Nancy Dalen SNOHOMISH $75.00 Amber Seibert SOUTH SNOHOMISH $75.00 Christine Price SW KING $70.00 Suzanne Ybarra THURSTON $66.00 Carol Wilson Please contact your local chapter for membership information. Your WSFCCA Membership is Included in Your Chapter Dues.