Accident Insurance Information Overview
Tennessee State Soccer Association
ACCIDENT INSURANCE PLAN DESCRIPTION
for the 2013 - 2014 policy term

This policy provides coverage for accidental injuries incurred by Insured Persons, while participating in Covered Activities of the soccer association.

Underwriting Carrier: Federal Ins Co. - Chubb

Policy Limits
Accident Medical/Dental Maximum $100,000
Accidental Death & Dismemberment $5,000
Deductible per claim $500
Physical Therapy/Chiropractic benefit $2,000/$50 maximum limit per visit
Co-Insurance 80/20
Benefit Period 104 weeks from date of injury

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.
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.