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Camps and Clinics Blanket Accident InsuranceNCAA Insurance ProgramSubject: Camps and Clinics Blanket Accident Insurance
The purpose of this paper is to explain the Camps and Clinics Blanket Accident Insurance Program and the procedures which Client's coordinators should follow when using this program. Camps and clinics insurance is purchased by Client's Risk Management to reduce the potential for liability claims arising out of injuries which occur at the various Client's sponsored camps and clinics. This is not a substitute for liability insurance but rather provides "goodwill coverage" for small medical bills incurred by camp participants. These medical expenses must be the result of a covered accident, this is not an illness policy. The policy gives us the ability to pay the medical expenses of camp participants covered under the policy without being negligent, thus reducing the number of claims and suits from participants and their parents or members of their families. Coverage is primary to liability insurance and the camper's personal insurance on the first $1,000 of covered medical expenses and excess up to $5,000 per person of Staff, but is intended to target injuries incurred related to camp activities. It is not meant to cover a Staff with allergies or a Staff who is playing with a pocket knife. Coverage can be provided for camps and clinics based on the following criteria: A.
Camps
and
clinics
must be sponsored by a Client's office and open to
the public. These are only guidelines to help determine eligibility for the program. If you have a camp or clinic that you feel should be covered and does not fall directly under these guidelines please contact Client's Risk Management and we can determine if the activity can be covered under this policy. ** Also keep in mind, the coverage is not required but encouraged by Client's Risk Management to avoid the potential of a lawsuit.
a. For hospital room and board, benefits shall not exceed the hospital's usual charge for its semi-private room accommodations; andb. For dental treatment, benefits shall not exceed $100 for repair or replacement of each injured tooth (including dental x-rays) and all treatment thereto which was sound and natural at the time of injury and a maximum of $300 for any one injury; andc. For plastic or cosmetic procedures, benefits shall not exceed $250; andd. For diathermy, ultrasonic, whirlpool or heat treatments, adjustment, manipulation, massage or any form of physical therapy and or office visit connected therewith, benefits shall be limited to $15.00 for each treatment not to exceed five treatments.The maximum total medical payments that can be made to a camp participant is $5,000. This $5,000 includes all of the limitations that are discussed above regarding dental, physical therapy, plastic or cosmetic procedures, and the hospital room limitations. The insurance company will pay the reasonable cost for these services actually rendered within one year from the date of the accident up to the $5,000 limit.Coverage does not apply while any participants are in or on any aircraft.The other benefits that are covered in addition to the medical expenses are:
A. The camps and clinics coordinator or the Client's risk manager should receive a copy of the camp or clinic brochure at least two weeks before the camp begins. This allows time to evaluate the eligibility of the camp or clinic. If there is a question regarding eligibility, consult Client's Risk Management. B. Seven days of activity constitutes a week. If an event is held only one day per week for several weeks, seven, one day events equals one week of coverage. If an event is held for eight days, two weeks of premium must be paid. If there are camps that are held for only one day the charge is $.39. Camps that are held for two days with no overnight stay involved, the charge will be $.39 per day for a total of $.78. Any camps held for three days or more require a charge of $2.20. If a camp is two days with an overnight stay, the charge is $2.20. There have been questions from some Client's institutions about using other carriers. This is the only acceptable insurance. Our reasons are: 1. Our policy offers 24 hour coverage. 2. Our policy is primary medical coverage which is the sole reason for having the policy. If the policy is not primary it may then become a liability issue and would fall under our liability coverage under the UKGC. 3. It allows for an understanding of what is covered by our policy rather than attempting to understand other parties' contracts. C. The camp and clinic coordinator must send to Client's Risk Management one list of camp and clinic participants along with the applicable premium by April 10, July 10, October 10, and January 10. Internal record-keeping and accounting of the accumulated premiums will be the responsibility of the camp coordinator during the quarter. A single check for the total premium during the quarter is acceptable. D. Complete both parts of the Reporting Form and forward to the Client's Risk Management office with the applicable premium by the four above listed dates. E. Claims reporting procedure: 1. In the event of an injury, common sense should be used in assuring adequate care is given to the camper. If personal health insurance is available, that may be used in lieu of this policy. 2. Upon injury, the injured camper or his/her parent (and physician if possible) should complete a copy of the attached claim form. 3. The camp director must inform the parent that the claims form must be filed within 90 days of the injury to the following parties with medical bills and the original report sent to UKGC 4. If the injury is severe and potentially may result in expenses greater than $5,000, immediately inform Client's Risk Management in case the injury results in a liability claim. F. All claims must include the Client's name where the camp was held. This information must be completed on the claim form by the Client's division before it is given to the claimant. This is especially important as the frequency and severity of claims increases, since this information helps us determine which institutions and camps are having the problems. G. We would recommend the following verbage be used as a photo and or video release on the application that is signed by the participant and/or parent: I understand that the Client may take photographs and or videos of camp participants and activities. I agree that the Client-____________ shall be the owner of and may use such photographs and or videos relating to the promotion of future camps. I relinquish all rights that I may claim in relation to the use of said photographs. H. If the Client's divisions are going to list that there is accident insurance in their informational materials they need to note that it is limited accident insurance and is primary on the first $1,000 and excess up to $5,000. I. Appendix A refers to mandatory variances we have established in partnership with the Department of Health and Family Services (DHFS). The variances are to DHFS' current HFS175 and its' draft HFS175. The variances were granted, based on a collective process, between Client's divisions and the Department of Health and Family Services. Changes to these variances or the recommendation of other variances must be cleared with the Client's RM due to liability concerns. The Client's office, by written protocol, shall keep available the required list under subsection (2) for each office and be centrally maintained by the office to meet the requirements of HFS175. These protocols are to be made available to the licensing authority upon request. Protocols to include: United Kingdom Guarantee CompanyTenant User Liability Insurance Program (TULIP)Policy
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