Insurance Claim Process

With the new insurance contract now in effect, there are some changes to the accident reporting process and the coverage provided.

When an official receives an injury that requires medical attention, the following procedure needs to be followed:

1. Contact K&K Insurance directly at 1-800-237-2917 in order to obtain a claim form.
2. Notify your Local Supervisor of Officials and the District RIC as soon as possible.
3. Once the claim form is received it needs to be accurately completed then forwarded to the District Referee-in-Chief who needs to review and sign the claim form. Without this signature, the claim will not be processed.

Who is an Insured Person ?

An officially registered player, referee or coach. The coverage also extends to volunteers of USA Hockey while acting within the scope of their direct responsibilities on behalf of USA Hockey.

 What is a Sanctioned Activity ?

A competition, game or event which is hosted or sanctioned by USA Hockey and includes pre-competition activities and practice sessions which are authorized, organized and supervised by the coach, or an adult designated by the coach, to supervise and coordinate such activities

INSURANCE BENEFITS FOR ELIGIBLE MEMBERS

 — ACCIDENTAL (EXCESS) MEDICAL EXPENSE —

The coverage may pay up to a maximum of $25,000

Covered Medical and Dental expenses are payable, in excess of any other valid and collectible insurance in force at the time of the accident. A $1,000.00 deductible will apply if there is no other valid and collectible insurance in force at the time of the accident. In addition, the deductible portion of any primary insurance is neither covered nor eligible for reimbursement b this excess policy .

—  $10,000 ACCIDENTAL DEATH and COMA  —

—  $12,500 LOSS OF SIGHT —

—  $18,750 DISMEMBERMENT OR PARALYSIS OF ARM OR LEG   —  

 —   $12,500  DISMEMBERMENT OF HAND OR FOOT  —

—  MAJOR EXCLUSIONS FROM COVERAGE  — 

• Assault and battery/fighting

• Repair or replace pre-existing dentures, fillings, crown.
  Property damage of insured person's glasses, contact lenses, dentures, uniform, helmets, equipment, etc.

• Illness, disease or any bacterial infection other than a bacterial infection occurring as a consequence of an accidental cut or wound

— CATASTROPHIC COVERAGE  —

The $2,000,000 Catastrophic Injury coverage will pay benefits to an eligible, insured person, subject to a $25,000 deductible for losses due to a catastrophic injury and in excess of other valid and collectible insurance in force at the time of the injury.

—  BASIC LIABILITY COVERAGE —

Provides broad legal liability protection and defenses for USA Hockey  and USA Hockey affiliated organizations, their officers, directors, coaches, managers, officials, players, sponsors and volunteers against lawsuits arising due to accidental bodily injury that results from a claim of negligence being brought against them while they were acting within the scope of their responsibilities on behalf of USA Hockey. The policy is written on an “occurrence” form, with a policy limit of $1,000,000 per occurrence and without an general aggregate limit.

For further information contact    Excess Accident Coverage - District Risk Manager or Winnie Tharp, Marsh USA (317) 261-9306

                                                   Catastrophic Coverage - Winnie Tharp, Marsh, USA, Inc (317) 261-9306

                                                    Liability Coverage - Patricia Wallace, IRMG  (201) 225-3656