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Who is Covered?
The Accident Medical Insurance Plan covers all currently
registered member players, coaches, umpires/officials, and
trainers.
Covered Activities
Covered Activities are defined as the following for players,
coaches and umpires:
1) Scheduled games, practices, camps, clinics and other
activities approved by USA Field Hockey.
2) Group travel as a team or club directly to or from such
scheduled practices, games or sponsored activities.
3) Other supervised activities, such as club or team
meetings, banquets and usual, non-hazardous fundraisers are
also covered by both the accident and liability policies.
Examples of non-hazardous fundraisers are bake sales, car
washes, and other similar events.
4) In addition to the above, USA Field Hockey Umpires are
also covered while officiating in any and all amateur field
hockey activities, and for their duties as an assignor for
any field hockey activities. Coverage extends to USA Field
Hockey sponsored games, clinics and tournaments, as well as
other amateur field hockey play, such as NCAA, high school
or other regularly scheduled games.
Coverage Description:
The Accident Medical Insurance Plan pays the reasonable and
customary charges for a covered injury to an insured if that
injury requires treatment by a legally qualified physician,
dentist or graduate nurse; confinement in a hospital;
ambulance service from the site of the injury to the initial
treatment facility; and services and supplies ordered by a
physician.
The first expense must be incurred within 60 days of the
date of the injury; and any further expense must be incurred
within two years of the date of injury. The policy covers
only those medical and dental expenses for a period of two
years from the date of injury.
Base Accident Limits of Coverage for Member
Participants:
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Medical Expense Limit: |
$25,000 |
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Dental Expense Limit: |
Included |
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Accidental Death Benefit: |
$5,000 |
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Accidental Dismemberment Benefit: |
$5,000
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Deductible (per injury): |
$500 |
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Physical Therapy/Chiropractic Care Maximum: |
$2,500 |
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Durable Medical Equipment Maximum:
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$1,000 |
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Policy Benefit Period: |
104 Weeks |
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Full Excess Coverage |
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Full Excess Coverage means that the policy will pay for
covered expenses as a result of an accidental injury, which
are not recoverable from any other insurance policy or any
other health care of employee benefit plan. If the claimant
has no health or medical coverage, the accident policy will
pay benefits on a primary basis, after the deductible has
been taken.
Note: The deductible under this policy applies to each claim
regardless of payment by other insurance.
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Umpires’ Base Accident Limits and Game Fee
Reimbursement:
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Medical Expense Limit: |
$100,000 |
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Dental Expense Limit: |
Included |
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Accidental Death & Dismemberment Benefit: |
$7,500 |
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Deductible: |
$100 |
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Physical Therapy/Chiropractic Care Maximum: |
$2,500 |
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Durable Medical Equipment Maximum: |
$1,000 |
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Policy Benefit Period:
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104 Weeks |
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Full Excess Coverage |
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Income Continuation: |
Up to $200 per missed game |
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Waiting Period (deductible): |
7 days from date of injury |
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Benefit Period for Game Fee Reimbursement:
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26 Weeks |
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Maximum Game Fee Benefit Payable: |
$7,500 per policy term |
Game Fee Reimbursement coverage will pay for lost
officiating fees if they are prevented from officiating
at their regularly scheduled games due to an injury
incurred while officiating during a covered field hockey
activity.
Accident Policy Exclusions for Member Participants
and Umpires
This policy does not cover any loss, fatal or non-fatal,
incurred or resulting from the following:
1) Suicide or self destruction or any attempt thereat;
2) Infections, except pyogenic infections caused wholly by a
covered injury;
3) War or any act of war, or accident while the insured
person is in the military, naval or air service of any
country;
4) Accident incurred while the insured person is operating,
or learning to operate, or performing duties as a member of
a crew of any aircraft;
5) Dental treatment, except as a result of injury to sound,
natural teeth;
6) Replacement of eyeglasses or eye examinations for the
correction of vision or fitting of glasses unless the injury
causes impairment of sight;
7) Injury for which the insured person is entitled to
benefits under any Worker’s Compensation Act or Law or any
similar legislation;
8) Hernia of any kind;
9) The insured’s being intoxicated or under the influence of
any narcotic unless administered by a physician.
Underwriting Insurance Company
The Accident Insurance Program is underwritten by Markel
Insurance Company,
Glen Allen, VA. Markel is rated “A” by A.M. Best’s rating
service.
How to File an Accident or Game Fee Claim
If you are injured during a covered USA Field Hockey
activity, you may obtain a claim form and instructions on
filing the claim by clicking here
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When submitting a claim for the Game Fee Reimbursement
Benefit, member officials must provide a schedule of the
games they were assigned to officiate, as well as
confirmation of their fee (compensation) from their
assignor. No claims for game fees can be made without a
written schedule.
This summary is a brief description only of the
coverages, conditions and exclusions of the policy, and in
no way affects or alters the scope of coverage provided. For
the full details of terms and limitations, please refer to
the actual policy.
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