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Lompoc AYSO Region 77
Accident Insurance Information
Soccer Accident Insurance:
The Soccer Accident Insurance (S.A.I.), pays medical costs up to $25,000 maximum
per claim to an insured person for accidental bodily injuries incurred as a
direct result of participation in a covered activity.
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All AYSO
registered players, coaches, referees, and volunteers are covered for
accidental bodily injury while participating in the following activities:
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Scheduled games, tournaments, team practice sessions or other sponsored
activities, provided they are under the direct supervision of a team
official.
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Group
travel directly to or from such games, tournaments, practice sessions or
sponsored activities, provided that players are traveling as a team and the
vehicle is operated by a licensed adult driver.
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S.A.I. is
a Full Excess policy, which means that you must submit your medical bills to
any other applicable health care plan you have in force, prior to making a
claim under this policy, and you must follow the other applicable health care
plan's rules for claim submission to be eligible under this policy.
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Each S.A.I.
claim is subject to a $200 deductible.
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To file an
S.A.I. claim, contact AYSO's regional Safety Director, Teresa Acosta, at
ac0sta5@aol.com,
for a claim form and other instructions.
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IT IS
THE RESPONSIBILITY OF THE CLAIMANT TO MAIL THE CLAIM FORM TO THE AYSO
INSURANCE CO. WITHIN 90 DAYS OF THE DATE OF THE INJURY.
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More
information about the Insurance form is available at AYSO's national web site.
Click on below for more information.
http://soccer.org/About/AYSONews/sai_carrier_change_042009
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