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Insurance

CLAIM FORM

https://agadmin.retool.com/embedded/public/2431b24b-f945-4475-ba7d-338ce14904b2 Click on the above link to file your claim.

QUESTIONS AND ANSWERS ABOUT THE ACCIDENT INSURANCE AND THE CLAIM FILING PROCESS

1. How do I file a claim if I get injured playing soccer?

All Claims will be filed online.

Use the link provided at the top of the page. "CLAIM FORM"

Be sure you take an Explanation of Benefits page when you go to the Dr so they can bill you in a way that is beneficial to you. SEE BELOW


To file a claim you need a claim form filled out completely.

2. What should I send with the claim form?

You can attach any bills during the claim filing process.


3. Should I use ISSA as my insurance company for the medical providers I see such as the Doctor of the hospital?
No!  ISSA is not the insurance company and to have your bills sent directly to
that post office box could hold up payment of your bills. 

The insurance carrier is:

QBE Insurance Corporation

AG Administrators 

Policy UBH000002-935

You may need this information when you go to the Doctor, emergency care, or hospital.

4. How soon after I send in the form and should I expect to be contacted?
You will be contacted as the claimant usually within 2 weeks of receipt of the information to the claim processor. You MUST provide your email address, phone number and the correct mailing address for them to contact you. The Claim will be processed usually within 2 weeks of receipt if you have followed the process the claim form is complete and there is a bill to go with it so they can open a working claim. The sooner you get the form filled out and sent in the sooner the process starts.

5. What do I get as acknowledgment from the insurance company?
Usually, within two weeks of the claims examiner receiving the claim form, you will be sent an acknowledgment email or letter with a description of the benefits. Once the person has received this information they then forward all bills directly to the claims administrator at the address provided. The best way to get bills to the Insurance carrier after the initial form is to deal directly with your claims examiner after you have a working claim established.

6. Who should I deal with about my claim?
If you have completed the USASA claim form and sent it on from that point forward you will deal directly with the claims examiner from the insurance provider. You will receive correspondence instructing you where to send your bills and an explanation of your benefits as well as names and numbers of people you can contact if you have questions or concerns about your claim and a claim number you can use as a reference when contacting them.

7. Is the soccer insurance secondary insurance?
Yes. So when you go to the hospital or doctor you should give your insurance as the primary insurance and the soccer insurance as secondary insurance. If you do not have any other type of insurance then the soccer insurance does become your primary insurance.

8. Should I contact the insurance company right when I get injured?
No. There is no need to contact the insurance company until you establish a working claim.  

9. Do I need to contact ISSA about my claim?
No. ISSA is not the insurance company and does not get information about your claim. It is best to contact your claims examiner after you have a working claim established for all your claim questions.
 
10. Is there a time limit to file a claim?
Yes. You have 90 days from the date of the accident to file a claim. 

 11. Where can I find a claim form?
The claim form link can be found on the ISSA web page.

See Above for the link.

 

DIRECTORS & OFFICERS LIABILITY EMPLOYMENT PRACTICES LIABILITY

Directors & Officers Liability is used to insure against claims arising from the negligent acts, errors, or omissions alleged to have been committed by present or former directors or officers of your league.

Insured’s, under this policy, are defined as Directors and Officers, but only while acting within their duties as Directors and Officers; the estate, heirs or legal representative of any Director or Officer who dies or becomes incompetent, but only with respect to any wrongful act committed by such director or officer while acting in that capacity.

Each league must fill out the appropriate application and submit to the verifying officer of the Idaho State Soccer Association before coverage is in place.  This benefit is offered again at no cost to all ISSA affiliated leagues through our affiliation with USASA and is a most valuable benefit to those that manage your league. 

Each Wrongful Act $5,000,000

Annual Aggregate $5,000,000