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Insurance

AYSO purchases Soccer Accident Insurance ("SAI"), which pays excess medical costs up to $50,000 maximum per accident to an insured person for accidental bodily injuries incurred as a direct result of participation in a covered activity subject to the policy terms, conditions and exclusions. Eligibility for benefits is 52 weeks from the policy effective date or the date of a covered accident. Download the SAI Brochure for more detailed explanation of the plan. Accident Medical Expense Benefits are only payable:

  • for usual and customary charges incurred after the deductible has been met;
  • for those medically necessary covered expenses that the covered person receives;
  • first medical or dental expense must be incurred within 90 days of covered accident;
  • all claims must be filed within 90 days;
  • each claim is subject to a $500 Deductible; and
  • social security numbers, visa or green card are REQUIRED on SAI claim.
  • Claims will require:
    • Copies of primary Explanation of Benefits (EOB)
    • Copies of itemized insurance billing forms - UB04 or CMS1500
  • No Primary Insurance: If there is no other insurance avail­able to the registered member, the medical benefit will be processed on a primary basis subject to Usual and Customary rates, and the policy terms, conditions and exclusions.

  • MAXIMUM BENEFITS PAYABLE: (subject to policy terms, conditions & limits)
    • $50,000 maximum excess medical costs
    • $15,000 for Accidental Death & Dismemberment
    • $10,000 for Dental Benefit
    • $10,000 for Orthopedic Benefit
    • $1,000 Physical Therapy; $100 per day up to 10 days

All AYSO currently registered* members (players, coaches, referees and other volunteers) are "Covered Persons" for accidental bodily injury while participating in the following covered activities:

  • Team practice sessions, scheduled games, tournaments, or other sponsored activities (meetings, banquets, fundraisers) provided they are under the direct supervision of an AYSO registered volunteer.
  • Group travel of five or more participants directly, without interruption to or from such practice sessions, games, tournaments, or sponsored activities, provided that players are traveling as a team and a licensed adult driver operates the vehicle.

*Registration requirements will be verified before any benefits are paid.

For Injuries occurring as of  JULY 1, 2014 and after:

SAI Claim Form with Instructions (English)
SAI Claim Form with Instructions (Spanish)
SAI Overview - 1 Page (English)
SAI Brochure (English)
SAI Brochure (Spanish)

For Injuries occurring as of  JULY 1, 2012 through June 30, 2014:

SAI Claim Form with Instructions (English)
SAI Overview - 1 Page (English)
SAI Brochure (English)
SAI Brochure (Spanish)