Participants Accident Insurance

Participant Accident Insurance can be purchased by coaches and activity supervisors for injury coverage through CSURMA Program Directors, Alliant Insurance Services, Inc. This plan provides primary or excess accident medical coverage when participants suffer an accidental injury during sponsored and supervised sports programs or other organized youth activities. The plan is sold as blanket coverage and purchased by a group for all its participants. The Participant Accident Insurance program covers a broad range of groups and activities, providing the best possible protection for event participants.

With a quick-quote capability and competitive pricing the University Risk Management Department can help you fill your accident/medical coverage needs.

Coverage: Participant Accident Insurance (PAI) Program
Coverage Period: Various - On file with the company
Policy No.: Various - On file with the company
Insurer: Life Insurance Company of North America
A.M. Bests Rating: A: XV

Named Covered Entity

Group or organization while engaged in California State University or CSUN Auxiliary Organization sponsored activity such as:

1. Athletes –including amateur sports, school sports, sports camps
2. Volunteers –including community and non-profit organizations
3. Child Care Centers – including school and church-affiliated centers
4. Recreation –including camping, skiing, white water rafting
5. Charities, fundraisers, religious retreats, and meetings
6. One-time special events

Coverage Features

Individual Policy Coverage Limits on File with Company:

1. High-limit Accident Medical Expense (AME) benefit maximums –up to $1,000,000
2. Accident Medical Expense Limits: Primary, Primary Excess, or Full Excess
3. Optional Catastrophic Plans - up to $10,000,000
4. Accidental Death & Dismemberment benefits
5. Medical Evacuation and Repatriation benefits are available
6. Choice of benefit levels, deductibles, and benefit periods
7. Coverage can be extended to administrators, organizers, trainers, or supervisors

Disclaimers

Coverage exclusions and limitations may apply. Availability and coverage levels of some planned features are subject to state laws and underwriting requirements.

Claims Reporting

Written notice must be submitted to Claims Administrators within 30 days after a covered loss occurs or begins to the Claims Administrator:

Health Special Risk, Inc (HSR)
4001 N. Josey Lane
Carrollton, Texas 75007
Phone: (972) 492-6764; Fax: (972) 492-4946
Submit Completed Claim Form #HSR10/99 General Claim Form

Participant’s Accident Insurance Quote Form

In most cases, signed waivers are required from all participants. To request a quotation, contact the Risk Management Department at x2079 or x6830.

Please Note: This summary of the policy terms is provided for information only. It does not convey any rights upon the insurance nor alter its condition for coverage. Please refer to the actual policy for full disclosure of the policy terms.