{"id":1811,"date":"2023-10-09T13:52:38","date_gmt":"2023-10-09T13:52:38","guid":{"rendered":"https:\/\/sportsengine-develop.go-vip.net\/arkansassoccer\/?page_id=1811"},"modified":"2024-10-29T14:31:00","modified_gmt":"2024-10-29T14:31:00","slug":"insurance","status":"publish","type":"page","link":"https:\/\/sportsengine-develop.go-vip.net\/arkansassoccer\/insurance\/","title":{"rendered":"Insurance"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

YOUTH<\/mark> Player Insurance<\/strong><\/h2>\n\n\n\n

What to do when an injury occurs:<\/strong><\/p>\n\n\n\n

    \n
  1. Fill out and mail\/fax\/email the <\/a>Accident Medical Claim Form<\/u><\/strong> <\/a>to the state office within 30 days of the injury. Please provide the referee report (long form<\/a><\/u><\/strong>) if possible.<\/li>\n\n\n\n
  2. The state office will verify that you are a registered player participating in a sanctioned event. Players electing to participate in non-sanctioned events are not covered by this policy.<\/li>\n\n\n\n
  3. If approved the state office will send the claim form to the insurance company for processing.<\/li>\n\n\n\n
  4. The injured player is then responsible for providing the insurance company with bills and requested information. The state office does not handle any bills or payments.<\/li>\n<\/ol>\n\n\n\n

    Arkansas Soccer Association’s insurance provider is AMSIS.<\/p>\n\n\n\n

    DO NOT SEND FORM TO INSURANCE COMPANY – IT WILL ONLY DELAY YOUR CLAIM.  <\/strong><\/p>\n\n\n\n

     <\/a>Explanation of coverage<\/strong><\/a><\/p>\n\n\n\n

    Email form to:\u00a0Jim Henke<\/a><\/strong><\/p>\n\n\n\n

    Mail:  ASA, 9871 Brockington Road, Suite 10, Sherwood, AR 72120<\/strong><\/p>\n\n\n\n

    \n\n\n\n

    ADULT<\/mark> Player Insurance<\/strong><\/h2>\n\n\n\n

    What to do when an injury occurs:<\/strong><\/p>\n\n\n\n

      \n
    1. ALL Adult claims MUST be filed via the USASA ONLINE form. PAPER forms will NO LONGER BE ACCEPTED. Here is the link to file a claim online: https:\/\/agadmin.retool.com\/embedded\/public\/2431b24b-f945-4475-ba7d-338ce14904b2 <\/a><\/li>\n\n\n\n
    2. Additional information, including Claim Filing Instructions and Frequently Asked Questions, regarding Adult claims can be found on the USASA website: https:\/\/www.usadultsoccer.com\/page\/show\/949935-insurance<\/a><\/li>\n\n\n\n
    3. The state office will verify that you are a registered player participating in a sanctioned event. Players electing to participate in non-sanctioned events are not covered by this policy.<\/li>\n\n\n\n
    4. Once ASA has verified that you are a registered player, USASA will submit the claim to the carrier and you should receive an email notification and a letter in the mail from the handling insurance adjuster regarding claim details. If you have not received this within 4-8 weeks, please reach out to ASA so ASA can follow up with USASA and their insurance carrier.<\/li>\n<\/ol>\n\n\n\n

      Explanation of Insurance – English and Spanish<\/strong><\/a><\/p>\n\n\n\n

      Release of Liability Agreement <\/strong><\/a><\/p>\n\n\n\n

      Click Here to Visit USASA’s Website for More Information and Forms <\/strong><\/a><\/p>\n\n\n\n

      For additional questions, email:\u00a0<\/a>\u00a0Jim Henke<\/a><\/strong><\/p>\n\n\n\n

      Mail:  ASA, 9871 Brockington Road, Suite 10, Sherwood, AR 72120<\/strong><\/p>\n\n\n\n

      CERTIFICATES OF INSURANCE<\/mark><\/strong><\/p>\n\n\n\n

      Clubs can request Certificates of Insurance Here<\/a><\/strong><\/p>\n\n\n\n

      <\/div>\n","protected":false},"excerpt":{"rendered":"

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