ASA Insurance Coverage Summary

Alberta Soccer covers its Members with Commercial General Liability, Sport Accident and Excess Travel (out-of-country is now a mandatory purchase) Insurance protection.

The ASA Insurance policies apply specifically to registered players, coaches, referees, ASA Directors, and Staff. Volunteers listed in member’s records, and parent volunteers while supervising registered players at sanctioned games, practices, or events. Both indoor and outdoor seasons are covered. Please note, district and community Directors are not covered.

Insurance Claims must be submitted in accordance with timelines to ensure eligiblity of claims.   See ‘Contact Information & Forms’ for reporting procedures and required forms. For coverage details, refer to the appropriate tab below.

If you have been asked to provide a certificate of insurance for a facility you are renting for soccer purposes, please complete and submit the Third Party Facility Insurance Request Form.

If you have general enquiries, Please contact Rachel Appels at operations@albertasoccer.com or 780-474-2200.

 

Contact Information & Forms

For incidents outside of Canada

Excess Travel Claims Assistance (Policy Number TM00217):

Intrepid International Health Solutions
Phone: 1-855-591-2284 (within North America)

Phone: 1-647-591-2284 (outside of North America)

Fax: 1-416-730-1878
Email: sri@intrepid247.com

Travel Medical Insurance Coverage and Procedure

Sport Accident Claims Form 

For incidents within Canada

Special Risk Insurance Managers Ltd. (Policy Number SC10710):

Phone: 1-800-993-6388
Fax: 1-604-888-1008
Email: claims@srim.ca
#103-8411 200th Street
Langley, BC V2Y 0E7

Sport Accident Claims Procedure

Sport Accident Claims Form 

The coverage will pay on behalf of named insured (ASA), and the additional insureds, where applicable, all sums of money which the insureds shall become legally obligated to pay as compensatory damages for actual bodily injuries to participants, spectators, and other members of the public. This also includes property damage the insurer(s) shall become legally obligated to pay.  The policy does not cover defense of criminal code charges.

If you, as an ASA Member, are served with a Court-originated statement of claim, you must contact the ASA Office immediately. Please fax this form to the ASA at 780-474-6300. The Insurers will then begin the process of defending you.

Activities Covered Under the ASA CGL Policy

This consists of practices, games, tournaments, related training activities and related approved travel. These ALL must be ASA-sanctioned.

There are some valuable extensions to the CGL as well:

    • Full participant coverage
    • Sponsors, Government Departments, Municipalities added as Additional Insureds
    • Non-owned Automobile
    • Personal Injury (libel, slander, defamation)
    • Liquor law liability for sanctioned social events where requested (Annual awards ceremonies & wind-up banquets, it is available on a submission basis)
    • Legal Expenses coverage that do not require compensatory funds (i.e. non-monetary based lawsuits)

Limits of Liability:

  • $5,000,000 each occurrence and aggregate
  • $250,000 Tenants Legal Liability – all named & un-named locations
  • $1,000 Medical Expenses – per person, $10,000 per Accident
  • $5,000,000 Non-owed Automobile
  • A $1,000 Deductible applies

 

If you are injured in a sanctioned game or practice, please fill out the Sport Accident Claim form within 60 days available on this website.

The Sport Accident Insurance Policy is in place to ensure that you are not out-of-pocket for medical expenses incurred through a soccer injury. These are injuries that result in the following losses within 365 days after the date of accident. Please note these amounts are above what would normally be covered by Alberta Health Care, and Private Health Care Plans.  The policy does not cover lost wages from employment.

The limits under the Sport Accident Policy are:

Type of Coverage/ Sum Insured

  • Loss of Life up to $25,000
  • Permanent Loss / Disablement up to $50,000

For Loss of:

  • The Entire Sight of Both Eyes up to $50,000
  • Speech and Hearing in Both Ears up to $50,000
  • One Hand and the Entire Sight of One Eye up to $50,000
  • One Foot and the Entire Sight of One Eye up to $50,000
  • The Entire Sight of One Eye up to $33,250
  • Speech up to #33,250
  • Hearing in Both Ears up to $33,250
  • Hearing in One Ear up to $16,667
  • All Toes of One Foot up to $12,250

For Loss or Loss of Use of:

  • Both Hands up to $50,000
  • Both Feet up to $50,000
  • One Hand and One Foot up to $50,000
  • One Arm up to $37,500
  • One Leg up to $37,500
  • One Hand up to $33,250
  • One Foot up to $33,250
  • Thumb and Index Finger or at Least 4 Fingers of One Hand up to $16,667

For total Paralysis of:

  • Both Upper and Lower Limbs (Quadriplegia) up to $50,000
  • Both Lower Limbs (Paraplegia) up to $50,000
  • Upper and Lower Limbs of One Side of Body (Hemiplegia) up to $50,000

Prosthetic Devices up to $3000

  • Blanket Accident Reimbursement up to $25,000
  • Rehabilitation up to $5,000
  • Tuition up to $5,000
  • Special Treatment Travel Expense up to $2,500
  • Out of Province Medical Accident (inside Canada) up to $10,000
  • Eyeglass, Contact Lens (resulting from injury) up to $200
  • Blanket Dental (including 75% of future expenses) up to $10,000
  • Dentures/Bridgework up to $2,500
  • Fractures up to $500
  • Babysitting up to $500
  • Youth Wage Loss up to $1,000
  • Repatriation Benefit up to $10,000
  • Family Transportation Benefit up to $10,000
  • Home Alteration and/or Vehicle Modification Benefit up to $10,000
  • Aggregate Limit Payable for any one Accident up to $2,000,000
  • Physiotherapy up to $500
  • Non Standard Emergency Transportation up to $100
  • Licensed Emergency Transportation unlimited, subject to Blanket
  • Accident Expense Reimbursement policy limits ($25,000 limit)

This is now mandatory and  covers all potential injuries on and off the field while outside of Canada. It is also excess of Alberta Health Care and private health care plans so it very important to ensure all members travelling have their health cards with them.

The rate for this coverage is $1.50 per member per day.

Important

  • You MUST notify Intrepid International Health Solutions immediately when medical services are required, or within 24 hours of hospitalization.
  • Claims must be reported within 30 days of occurrence.
  • Written proof of claims is required within 90 days of occurrence.
  • Claims cannot be considered unless the form is duly completed and signed by the claimant and submitted along with documentation.
  • All documentation must be supplied free of expense to Insurer.

Type of Coverage/ Sum Insured

  • Emergency Dental up to $1,000
  • Out of Pocket Expenses (living exp., child care, misc.) up to $1,500
  • Family Transportation Expense up to $1,500
  • Return of Vehicle Expense up to $1,500
  • Return of Deceased Body up to $25,000
  • Aggregate Limit Payable for any one Accident up to $2,000,000

Please see www.srim.ca for further details on coverage.

Please note this is a general description of the coverages only and specific terms, conditions and exclusions will apply. Please contact the broker for any specific questions.