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2009 -
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
Certificates
of Insurance
City of
Jacksonville
Duval
County School Board
St. Johns County Schools
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