THE AIG GROUP INSURANCE PROGRAM IS SPECIALLY DESIGNED FOR CHARTERED LITTLE LEAGUES TO CREATE AFFORDABLE PROTECTION FOR ALL ELIGIBLE PARTICIPANTS AND LOWER PROGRAMS COSTS TO LOCAL LEAGUES.

Leagues may purchase their insurance from any outside source, but the Accident Insurance and General Liability Insurance must, at a minimum, include comparable limits and scope of coverage to that provided by the AIG group insurance program for Little League. They offer four types of insurance coverage:

MANDATORY COVERAGE (Regulation I (c) 7)

  1. 1. Accident Insurance
  2. 2a. General Liability Insurance (GL)

RECOMMENDED

  1. 2b. Directors & Officers Liability Insurance (D&O)
  2. 3. General Liability Insurance (GL)
1. ACCIDENT INSURANCE

The Little League Player Accident Policy is an excess coverage, accident only plan, to be used as a supplement to other insurance carried under a family policy or insurance provided by an employer. The policy is subject to a $50 deductible that is the responsibility of the claimant. If a covered injury requires necessary treatment in the form of medical services or supplies provided by a physician, nurse, therapist, or other medical professional within 30 days after the date of the accident, the Company will pay the reasonable expenses incurred.

Such reasonable expenses must be incurred within 52 weeks after the date of the injury to be considered (subject to any deferred benefits). The maximum accident medical expense benefit is $100,000 for any one injury to any one Insured.

Our accident insurance covers eligible participants (players, appointed/approved managers and coaches, volunteer umpires, scorekeepers, player agents, and safety officers) while traveling directly, without delay, to and from the field as well as during Little League practice sessions and games. Coverage also extends to league volunteers involved in authorized league activities. No coverage is in effect until the league has submitted their Charter Application and Insurance Enrollment form and the premium has been paid in full. This is a brief description of coverage.

HOW TO SUBMIT AN ACCIDENT INSURANCE CLAIM

Notification of a claim for an eligible member under the league’s Accident Insurance should be filed with Little League International within 20 days of the incident. Once we receive the complete claim form, the claimant will be assigned a claim number for any information that is submitted for the accident. The claim form should be submitted as soon as possible so we can begin a record of the accident and then the claimant can submit all itemized bills (includes procedure and diagnosis codes) from the medical providers as well as any primary insurance explanation of benefits (if applicable) for any treatments for the accident.

Accident Insurance Form: The form can be downloaded online at LittleLeague.org/Accident-Insurance.



PART I - CLAIMANT, OR PARENT(S)/ GUARDIAN(S), IF CLAIMANT IS A MINOR

  1. Step 1. The adult claimant or parent(s)/guardians(s), (if the claimant is a minor) must sign this section.
  2. Step 2. Give the name and address of the injured person, along with the name and address of the parent(s)/ guardian(s), if claimant is a minor
  3. Step 3. Fill out all sections, including check marks in the appropriate boxes for all categories. Do not leave any section blank. This will cause a delay in processing your claim and a copy of the claim form will be returned to you for completion.
  4. Step 4. It is mandatory to forward information on other insurance. Without that information, there will be a delay in processing your claim. If no insurance, written verification from each parent/spouse employer must be submitted.


  1. Step 5. Be certain all necessary papers are attached to the claim form (See instruction 3). Only itemized bills that include date of treatment, type of treatment (procedure codes), total charge for each treatment, and reason(s) for treatment (diagnosis codes) are acceptable. We cannot accept balance due statements.
  2. Step 6. On dental claims, it is necessary to submit charges to the major medical and dental insurance company of the claimant, or parent(s)/guardian(s), if claimant is a minor. “Accident-related treatment to whole, sound, natural teeth as a direct and independent result of an accident” must be stated on the form and bills. Please forward a copy of the insurance company’s response (an Explanation of Benefits (EOB) Statement) to Little League International. Include the claimant’s name, league ID, and year of the injury on the form.

PART II - LEAGUE STATEMENT

  1. Step 7. This section must be filled out, signed, and dated by a league official (President, Safety Officer, etc.).
  2. Step 8. Fill out all sections, including check marks in the appropriate boxes for all categories. Do not leave any section blank. This will cause a delay in processing your claim and a copy of the claim form will be returned to you for completion.

When submitting the claim and all following information, please do so by mail or fax. We cannot accept via email as the claim form includes sensitive information. Please do not use the A Safety Awareness Program (ASAP) Injury/Incident Tracking Report form to file an Accident Insurance claim. This form is for internal league use only and does not constitute filing an insurance claim. For additional information, please refer to the Little League website and the 2016 Insurance Brochure.


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