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Insurance
[Claim Form][Description of Benefits]

USASA Monthly Claims Report

Reports provided by USASA's Insurance Agent - DesChamps & Gregory

2008 Jan
2007 July/Aug/Nov/Dec

As a registered member of your local NCASA sanctioned league, you are entitled to accident insurance coverage through USASA with K & K Insurance Co.  Your coverage is paid for as part of your annual registration fee.  It is important to understand that the accidental insurance coverage is secondary to your primary health coverage with your employer, but it can still offer assistance in many cases in the event of a soccer related injury irregardless of your primary plan coverage.

The Accident and Health Plan under the USASA policy provides a supplementary/excess combined maximum benefit not to exceed $5,000 per incident after the incident deductible of $400 has been satisfied.  Only allowable charges may be applied to the deductible or paid in accordance with policy limits.  Medical charges for injuries incurred only at the time of the covered accident are eligible.  The injured participant must seek treatment for the claimed accident within 60 days of the injury.  Services other than those with pre-established maximums are subject to plan guidelines.  (This is a benefit description only, not a guarantee of payment.)  A more detailed summary of benefits will be provided to the participant upon request.

Claim forms with incomplete information will require additional information requests that delay payment.  Should you receive a request for additional information, please respond promptly. 

 

 
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