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Supplemental Insurance Summary

ABOUT HRH - AYSO'S INSURANCE BROKER

Effective August 9, 2005, Hilb, Rogal & Hobbs (HRH) became the insurance broker of record for the American Youth Soccer Organization. HRH is the nation's seventh largest insurance broker. HRH clients include Major League Soccer, NORBA (National Off Road Bicycle Assoc.), USCF (United States Cycling Foundation), NCCA (National Collegiate Cycling Assoc.), American Quarter Horse Assoc., USA Cycling, Inc. and Major League Baseball including their minor league affiliates.



SAI COVERAGE HIGHLIGHTS

Please refer to the SAI brochures for coverage specification details. Summary specifications are:

Full Excess Policy (any family coverage must be used first)
$200 deductible per claim
Claims must be filed within 90 days of injury
Medical expense benefit $50,000
Dental Expense limit $3,500
Physical Therapy & Chiropractic limit $1,000
Accidental death & dismemberment benefit $10,000
Benefit period 104 weeks


CONTACT:
If for any reason you have a problem or concern about your insurance program, please do not hesitate to contact the NSTC or HRH at:
Liability Insurance Certificates
or
Soccer Accident Insurance (SAI)

NSTC - 800-872-2976
HRH - Rhoda Wilson - 800-365-4022



All claims must be submitted within 90 days of the injury.
Each claim is subject to a $200 Deductible

How to file a claim:
• Obtain an AYSO “Soccer Accident Insurance” (“SAI”) Claim form from your regional safety director or commissioner. Or click below to download a copy:
Saugerties Soccer Webmaster:
Mike Kilmer - mike@thebicyclerack.com
with the assistance of Alan Stout - Stout Web Sites