Insurance

As a registered member of Eastern Pennsylvania Soccer,  the following insurance programs are available at no cost.

Participant Accident Insurance 

This is secondary to a player's primary insurance, or will kick in if a player is not currently insured. This covers you during any sanctioned practice, game or tournament. 

To file a claim if you are injured during a sanctioned EPSA event:

      1. Contact your League Representative for a claim form.

      2. You'll need to secure a copy of the referee game report

      3. Gather any medical or doctor's bills accrued to date.  (Additional bills can be submitted after the claim is filed.)

      4. Complete the claim form, making sure all pertinent information is filled in, including the appropriate signatures.

      5. Mail the form, referee report, and any medical bills to:  

                          EPSA, 4070 Butler Pike, Suite 100, Plymouth Meeting PA 19462.

      6. We suggest making copies of everything before mailing.



Once received and approved by the State, the form will be forwarded to USASA, and then to the Insurance Company for final approval.  You will be notified in writing, usually in about 10 days, that your claim has been accepted.



Facility Insurance   ​NEW PROCEDURE

All fields and facilities, used by affiliated teams and leagues, are eligible for liability insurance through USASA.

A team needs a Liability Insurance Declaration Certification for any field not owned by that team or its respective team club. Any team intending to play EPSA sanctioned match(es) or competition(s) at a site that is not owned by that team or its respective team club  MUST submit a request form from EPSA  for a Liability Insurance Declaration Certification with a copy of a contract/field usage permit from the individual site to be utilized in advance of any match to be played at that respective site, identifying the date(s), time(s), and physical location of that site. Then EPSA will issue a date stamped and authorized Liability Insurance Declaration Certification to the team manager/coach for that specific site. The Liability Insurance Declaration Certification will only be applicable to one specific site and the times and dates submitted on the contract/field usage permit. This does not waive or approve the field qualification requirements established in the EPSA Cup policies.

Complete this form and return it along with the signed field contract/field usage permit to the State Office: EPSA, Attn: Joanne, 4070 Butler Pike, Suite 100, Plymouth Meeting PA 19462, or email to eastpasoccer@gmail.com.  Upon receipt and approval, the COI will be issued within 1-2 days and emailed back to the requester.

 

Forms