Insurance information: Liability, Medical and Certificates of Insurance
About USGAA Insurance
All divisions and clubs within the USGAA must carry liability insurance and submit proof of coverage to the USGAA prior to registration. The USGAA has purchased a group policy which all divisions and clubs may buy into at a reduced rate. For more information about getting your club into the group insurance policy, contact the USGAA Insurance Officer: firstname.lastname@example.org
Player Injury Insurance
The USGAA provides an opportunity for player injury insurance. For more information about availability and how clubs and players can take advantage of this program, please contact your Divisional Secretary or Divisional Insurance Officer. Below are forms that are required as part of the injury insurance claim process. If you are involved in the program and making a claim, please download and complete the forms provided, and return them directly to your Divisional Secretary and/or Divisional Insurance Officer. They will be the first step in getting the claim properly processed.
Federal law requires that liability insurers (including self-insurers), no-fault insurers, and workers’ compensation plans report specific information about Medicare beneficiaries who have other insurance coverage. This reporting is to assist the Centers for Medicare & Medicaid Services (CMS) and other insurance plans to properly coordinate payment of benefits among plans so that your claims are paid promptly and correctly.
This form is required, and designed to provide specific details about the incident that is at the center of your injury claim. Please be sure to fully and accurately complete all sections of this form, and obtain the requested signatures from the parties listed on the form.
This is the official claim form that is processed by RPS Bollinger – the insurance firm that provides coverage for the USGAA. It is important this form is completed fully and accurately. If you have any questions, please contact your Divisional Secretary or Divisional Insurance Officer.