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ACCIDENT INSURANCE PLAN DESCRIPTION
for the
2012 - 2013
policy term
This policy provides coverage for accidental injuries incurred by Insured Persons,
while participating in Covered Activities of the soccer association.
Underwriting Carrier:
Markel Insurance Company, Glen Allen, VA. Markel is rated "A" by A.M. Best.
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Policy Limits
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Accident Medical/Dental Maximum
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$300,000
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Accidental Death & Dismemberment
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$5,000
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Deductible per claim
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$250
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Physical Therapy/Chiropractic benefit
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$2,000/$50
maximum limit per visit
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Benefit Period
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52
weeks from date of injury
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Full Excess Coverage *
*This is a Full Excess policy. This insurance is payable in excess of any other
valid and collectible Health Plan or insurance in force at the time of the accident
causing injury.
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The deductible will apply to each covered accident. To be eligible for coverage,
medical and/or dental expenses must be incurred within the Benefit Period.
What is not Covered?
Some of the types of losses or expenses not covered by this plan are: Dental expense,
except for treatment resulting from injury to natural teeth; suicide or self-inflicted
injury; eyeglasses or hearing aids; injury due to participation in a riot; injury
resulting from declared or undeclared war; cosmetic surgery, except for reconstructive
surgery as a result of the accidental injury; infection, except pyogenic or bacterial
infection as a result of the accidental injury; travel in any aircraft except as
a fare-paying passenger on a commercial aircraft; injury that is eligible for coverage
under workers compensation; being intoxicated or under the influence of drugs or
narcotics; and claims occurring while hang-gliding or parachuting.
This is only a summary of the policy benefits, terms and conditions, and does not
alter, broaden or limit coverage in any way.
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