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2010 -
Insurance Information
POP WARNER CLAIM SUBMISSION PROCESS:
Pop Warner Little Scholars, Inc., provides excess accident
coverage for registered participants through AIG Insurance.
The excess policy covers accidents that occur during
sponsored activities and is secondary to the participants'
group medical insurance.
When a player is injured, the claim must first be submitted
to the primary insurance. As soon as possible after an
accident, the injured player, or parents, if the player is a
minor, must call AIGCS Customer Service at
800-551-0824 to request a claim form. The claim
form can also be
obtained by downloading from our website.
A representative of the league, coach or league official,
must complete and sign Section A of the
claim form. This is for verification purposes to confirm
that the player was injured while participating in a
sponsored event. The injured player, or parent, must
complete and sign Section B.
Submit the completed AIG form, itemized medical bills
(balance due statements are not acceptable) and the primary
insurance explanations of benefits to the AIGCS claim office
address on the form. If the injured player has no other
insurance, that information must be noted on the claim form.
The AIG policy becomes primary in the absence of other valid
insurance.
CLAIM FORM
(updated 08/03/2010)
Certificates
of Insurance
City of
Jacksonville
Duval
County School Board
St. Johns County Schools
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