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Who is Covered?
The Catastrophic Accident policy covers:
all currently registered member players, coaches and
officials for injuries in excess of a $100,000 Basic Accident
Policy Limit.
Covered Activities
Covered activities are defined as the following
for Players, Coaches and Officials:
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Scheduled games, team practice sessions, camps,
clinics, tournaments or sponsored activities,
provided they are under the direct supervision of a
team official.
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Group Travel as a Team or as a group of officials, directly to or
from such scheduled practices, games or sponsored activities.
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Other sponsored and supervised activities,
such as team or league meetings, banquets and usual, non-hazardous
fundraisers are also covered by both the accident and liability
policies. Examples of non-hazardous fundraisers are bake
sales, car washes and other similar events. No coverage
is provided for any event that includes fireworks.
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In addition to the above,
US Lacrosse Member Officials
are also covered while officiating in any and all
amateur lacrosse activities, and when acting as an
Assignor for Lacrosse activities.
Coverage Description
Catastrophic Accident Policy Limits:
| Accident Medical Expense Limit |
$1,000,000 |
| Benefit period |
10 Year Benefit Period |
| Catastrophic Cash Benefit |
$250,000 |
| Deductible |
$100,000 |
| Deductible Incurral period |
2 years |
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Catastrophic Medical Expense Benefit: Once
the injured person’s claim exceeds the deductible of $100,000
(within the 2 year incurral period), the claim will be eligible
for coverage under this Catastrophic Accident policy. The Catastrophic
Medical
Expense Benefit provides up to $1,000,000 to cover medical expenses resulting from a covered injury. Claims will
be paid on a reasonable and customary basis relative to the geographic
area where treatment was rendered. Any subsequent medical expenses resulting from that injury, such as additional
surgeries or rehabilitation, would be covered for up to a 10 year
period from the date of Injury. In the event of a serious injury,
this is meaningful since in a catastrophic situation, there
may be medical expenses that spread out over a period
of many years.
Catastrophic Cash Benefit: If a covered injury to a member
of US Lacrosse results in Paralysis or Coma within 180 days
from the date of injury, the policy will pay a lump sum cash
benefit to the injured participant, subject to the following
conditions.
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The paralysis or coma must last 12 consecutive
months (the waiting period).
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After the waiting period, a physician
must determine that the condition is irreversible and
has resulted in permanent disability.
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The benefit is payable according to the
schedule below
For Coma --- $250,000 (100%)
For Paralysis of 2 or more limbs (upper and/or lower) ---
$250,000 (100%)
For Paralysis of one limb (upper or lower) --- $125,000
(50%)
For Paralysis of one or more other parts of the body ---
See Note
NOTE: If the insured’s paralysis is a part
of the body other than a limb, the percentage of the cash benefit
used to determine the amount of the benefit will be adjusted
in proportion to the extent of the paralysis. The final determination
of comparable extent of the disability will be made through
the use of the most current edition of the “Guide to the Evaluation
of Permanent Impairment,” published by the American Medical
Association.
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Policy Exclusions
"Important note: This
policy covers only those
medical/dental expenses
arising out of
accidental injuries that
occur during covered
activities. It does not
provide coverage for
claims arising out of
sickness, illness or
bodily conditions, such
as stroke, asthma attack
or cardiac arrest."
This policy does not cover any loss, fatal
or non-fatal, incurred or resulting from the following:
- Suicide, or intentionally self-inflicted injury;
- Infections except pyogenic or bacterial infections
caused wholly by a covered injury or sickness;
- Injury or sickness resulting from any declared or
undeclared war;
- Loss resulting from air travel, except as a
fare-paying passenger on a commercial airline;
- Expenses for treatment on or to the teeth, except
for treatment resulting from injury to natural teeth;
- Eyeglasses, hearing aids, and examination for the
prescription or fitting therof;
- Injury or sickness covered by any workers'
compensation or occupational disease law;
- Hernia, unless it results from a covered injury;
- The insured being intoxicated or under the influence
of any narcotic unless administered on the advice of a
physician;
Underwriting Company
The Accident Insurance Program is underwritten by by
Markel Insurance Company, Glen Allen, VA. Markel is
rated "A" by A.M. Best's rating service.
How to File an Accident Claim
If you are injured during a covered Lacrosse activity, you may
obtain a claim form and instructions on filing the claim by
clicking here: How to File a Claim
No new claim needs to be filed in the event of a catastrophic
accident claim. The catastrophic accident claim will be
coordinated with the claim filed under the Base Accident policy.
All claims are handled and paid by Bollinger, insurance
administrator for US Lacrosse.
This summary is a brief description only of the coverages,
conditions and exclusions of the policy, and in no way affects
or alters the scope of coverage provided. For the full details
of terms and limitations, please refer to the actual policy.
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