2008 Medical Insurance Claim Form This form can be completed after the extent of the injury and medical care has been determined--this is to be submitted directly by the athlete's family after the medical bills begin to arrive. American Specialty will give the family more details when the insurance claim process has begun.
If an injury occurs to a player, spectator, parent, official, volunteer or coach, please be certain this document is fully completed and submitted as quickly as possible to American Specialty Insurance. This form records the specifics of the injury, and the names of witnesses to the injury. With increasing deductibles for health insurance, many on-court injuries requiring surgery and rehabilitation end up costing the athlete's family in excess of $1,000 out-of-pocket expenses. If you have an uninsured athlete, this is a very crtical document. If this form is not completed & submitted in a timely manner, possible coverage may be lost. Tournament directors and their individual site directors should keep these on-site at all events. Club directors should require ALL of their coaching staff to carry blank 2006 Incident Reports to all events, including practices & tournaments. Do not assume that "somebody else" will have the form and see it completed & submitted quickly.
Each currently registered Delta Region USA Volleyball member is provided insurance as noted below. In the world of lawsuits and high cost of medical care it is extremely important that we have the proper coverage for our events. USA Volleyball administers a medical and liability insurance program customized specifically for the sport of volleyball. It is one of the most comprehensive policies available and is designed to respond specifically to the inherent hazards of the sport. Offered as part of the same sanctioning program, it is one of the least expensive programs available
If an injury occurs to a player, spectator, parent, official, volunteer or coach, please be certain this document is fully completed and submitted as quickly as possible to Mark Thompson at American Specialty Insurance. This form records the specifics of the injury, and the names of witnesses to the injury. With increasing deductibles for health insurance, many on-court injuries requiring surgery and rehabilitation end up costing the athlete's family in excess of $1,000 out-of-pocket expenses. If you have an uninsured athlete, this is a very crtical document. If this form is not completed & submitted in a timely manner, possible coverage may be lost. Tournament directors and their individual site directors should keep these on-site at all events. Club directors should require ALL of their coaching staff to carry blank 2006 Incident Reports to all events, including practices & tournaments. Do not assume that "somebody else" will have the form and see it completed & submitted quickly.
(send to Region office after completing on-line! This insurance covers your sanctioned use of facilities--gyms, buildings, etc. Some building owners want a specific insurance policy naming their building and your organization before they will allow you to rent their building. The Region office will submit this request after the Club Director completes the above document)
D & O Liability Insurance
(why should you purchase directors & officers liability insurance for the people who run your not-for-profit volleyball club? You volunteer your time, it probably costs you money out of your pocket, but you can potentially endager you and your family's financial future. Read the application information and determine if Directors & Officers' Liability Insurance can provide another line of defense in today's litigious society. This is a separate policy from the general liability coverage policy provided through USA Volleyball membership. Annual premiums for $1,000,000 in coverage will be $650 for most volleyball clubs
