Following is information outlining the benefits, limitations and exclusions of the accident insurance program. Please note that the insurance is "secondary" to any other insurance coverage the family may have and will pay on eligible medical expenses not payable by other sources of coverage.
If accidental bodily injury occurs during practicing for or competing in school sponsored and school supervised athletics and requires treatment within 30 days from the original date of injury by a licensed physician or treatment in a legally constituted hospital, the insurance company will pay the reasonable and customary expenses for necessary medical, dental or hospital care provided within one year from the date of the injury up to the policy maximum amount for any one injury, which are not paid by other collectible insurance plans. The insured shall have free choice of a physician or hospital for treatment. If, however, an insured has other valid coverage through another insurance plan(s) and does not chose a physician or hospital through the other plan, we will pay benefits as if the other plan's guidelines had been followed.
CLAIM PROCEDURES
1. Present a claim to your own insurance company first. After a settlement has bee made with your insurance company, make certain all questions on the claim for are completed.
2. A school official must complete Part A on the claim form. The parent or guardian must complete Part B and C on the claim form.
3. Attach all medical bills, doctors, hospitals, etc. to the claim form.
4. Attach either proof of benefits paid by your insurance company or their letter of denial.
5. Mail completed claim form to: Scholastic Insurors, Inc. P.O. Box 3194, Johnson City, TN 37602
TREATMENT MUST COMMENCE WITHIN 30 DAYS
SUBMIT A CLAIM TO COMPANY WITHIN 90 DAYS FROM THE DATE OF ACCIDENT
BENEFITS AVAILABLE FOR ONE YEAR FROM DATE OF INJURY