The Accident Plans provide coverage to
members who are injured as a result of their participation in a
covered Lacrosse activity.
Who is Covered?
The Accident policy covers: all currently registered member players, coaches and
officials; and those insured as Non-Members under the program while participating
in a Covered Activity.
Covered Activities
Covered Activities are defined as the following for Players, Coaches
& Officials:
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Scheduled games, team practice sessions, camps, clinics, tournaments or sponsored
activities, provided they are under the direct supervision of a team official.
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Group Travel as a Team or as a group of officials, directly to or from such scheduled practices, games or sponsored
activities.
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Other sponsored and supervised activities, such as team or league meetings, banquets
and usual, non-hazardous fundraisers are also covered by both the accident and liability
policies. Examples of non-hazardous fundraisers are bake sales, car washes and other
similar events. No coverage is provided for any event that includes fireworks.
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In addition to the above, US Lacrosse Member Officials
are also covered while officiating in any and all amateur lacrosse activities; and
for their duties as an Assignor for any Lacrosse activities.
Coverage Description
The Accident Medical Insurance Plan pays the reasonable
and customary charges for a covered injury to an insured if that injury requires
treatment by a legally qualified physician, dentist or graduate nurse; confinement
in a hospital; ambulance service from the site of the injury to the initial treatment
facility; and services and supplies ordered by a physician.
The first expense must be incurred within 60 days of
the date of injury; and any further expense must be incurred within two years of
the date of injury.
All Accident Claims must be filed within 90 days of injury to be eligible for payment.
For claims covered by your primary insurance company, you must file the claim with
Bollinger, as soon as it practicable (i.e once payment has been made by your primary
insurance company).
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Base Accident Limits of coverage:
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Medical Expense Limit
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$25,000
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Dental Expense Limit
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$10,000
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Accidental Death Benefit (includes
cardiac/circulatory coverage)
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$20,000
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Accidental Dismemberment Benefit
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$20,000
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Deductible for Adult Male Players
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$2,500 per claim
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Deductible for All Other Participants (youth,
HS, Adult Women, Coaches, & Officials) |
$500 per claim |
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Physical Therapy/Chiropractic limit |
$2,000 (Subject to $50 max per visit)
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Durable Medical Equipment
Limit |
$2,500
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Policy Benefit Period
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104 weeks from date of injury
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Game Fee Reimbursement (for Officials only)
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Up to $7,500
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Full Excess Coverage
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Full Excess Coverage means that the policy will pay for
covered expenses as a result of an accidental injury, which are not recoverable
from any other insurance policy or any other health care or employee benefit plan.
If the claimant has no health or medical coverage, the accident policy will pay
benefits on a primary basis, after the deductible has been taken.
Note: The deductible under this policy applies to each claim regardless of payment
by other (primary) insurance.
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Officials’ Game Fee Reimbursement:
In addition to the Accident Policy benefits, Officials
are covered for Game Fee Reimbursement, to cover lost officiating
fees if they are prevented from officiating at their regularly scheduled games due
to an injury incurred while officiating during a covered lacrosse activity.
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Income Continuation Benefit:
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Up to $200 per missed game
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Waiting Period (Deductible):
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7 days from date of injury |
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Benefit Period:
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26 Weeks
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Maximum Benefit Payable:
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$7,500 per policy term
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When submitting a claim for the Game Fee Reimbursement Benefit, member officials
must include a schedule of the games they were assigned to officiate, as well as
confirmation of their fee (compensation) from their assignor
Accident Policy Exclusions
This policy does not cover any loss, fatal or non-fatal, incurred or resulting from
the following:
- Suicide or self destruction or any attempt thereat;
- Infections, except pyogenic infections caused wholly by a covered injury;
- War or any act of war, or accident while the insured person is in the military,
naval or air service of any country;
- Accident incurred while the insured person is operating, or learning to operate,
or performing duties as a member of a crew of any aircraft;
- Dental treatment, except as a result of injury to sound, natural teeth;
- Replacement of eyeglasses or eye examinations for the correction of vision or fitting
of glasses unless the injury causes impairment of sight;
- Injury for which the insured person is entitled to benefits under any Worker’s
Compensation Act or Law or any similar legislation;
- Hernia of any kind;
- The insured’s being intoxicated or under the influence of any narcotic unless
administered by a physician
Underwriting Company: The Accident Insurance Program is underwritten by Markel Insurance
Company, Glen Allen, VA. Markel is rated "A" by A.M. Best's rating
service.
How to File an Accident Claim
If you are injured during a covered Lacrosse activity, you may obtain a claim form
and instructions on filing the claim by clicking here: How
to File a Claim
All claims are handled and paid by Bollinger, insurance administrator for US Lacrosse.
This summary is a brief description only of the coverages, conditions and exclusions
of the policy, and in no way affects or alters the scope of coverage provided. For
the full details of terms and limitations, please refer to the actual policy.
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