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INSURANCE
PROCEDURES
Injuries
1.
All injures to players should be noted on the
referee report. This will help confirm
to the insurance company that the injury occurred at one of our
league activities. Having said that, injuries don't always
manifest themselves until later in the day; or even the next day.
We can still file with our league insurance, but if possible it is
best to have the injury noted on the report. The insurance
form requires a witness, which can be someone who was at the game,
in case of a problem though, it is helpful to have the injury noted
in the referee report.
2. The insurance injury form should be
filled out within a few weeks of the injury - even though all bills
probably have not been received.
This will serve as a notification to the insurance company; and they
will get a file open. If you delay, you run the risk of them
not covering your medical costs.
3. Please send me a
copy of the form that you send to the insurance company. I
don't need a copy of all the bills for associated expenses, but need
a copy of the form itself.
Information need for
USL insurance certificates
A) Field Info:
We need the following information:
1)
Field owner (Ex:
Washington
Township)
2) Owner's
address: (Ex.
10
Rock Rd.,
Long Valley,
NJ
07853)
3) If possible,
Recreation Director's name (Ex. Attn: Tom ?)
B) Team Manager:
We need the team manager's name and address.
C) Team Name:
We need the exact team name since this gets put on the insurance
certificate.
D) Teams using
Bergen
County
Fields:
Bergen
County
requires the certificate to include all of the names of a teams'
competitors as well. We will obtain these once Divisions are
finalized, and will have all your competitors included on your
certificate.
E) Number of Certificates and Certificate
Fees: We haven't reached a limit
on the number of certificates that a team can obtain - yet.
However, we have had occasions where our carrier has attempted to
charge a fee for additional certificates when we have requested
certificates later in the season. So far they have waived the
fees; but, please make a note of this.
F) Questions:
Contact Dave Jones, USL Insurance Director,
dnjones111@gmail.com, (908) 507-9741
Click the more link below to view or print the
Insurance Claim Form Form (PDF).
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