Marsh CampusConnexions
 Constituencies

 

Recreation Department Recognized Club Sports Event Liability

Request a Certificate of CoverageThe University of California has created an insurance program to cover Recognized Sports Clubs for most on and off campus events. Events covered by the policy are paid for by the University. However, Recognized Sports Clubs are responsible for making sure their event is covered and may need to complete a registration form to request certificates of insurance for off campus venues.

As you plan your event, it's essential that you make certain you have the appropriate insurance coverage. Don't put it off; take care of the insurance now!

UC Recreation Department Recognized Club Sports Event Liability Summary

The Philadelphia Indemnity Insurance policy will provide $2,000,000 coverage for the following participants:

A. Members of governing body &/or their appointed officers (including volunteer workers or individuals paid less than $5,000 per year for their assistance
B. Association
C. League
D. Team
E. Camp or School Officers or Officials
F. Coaches and Managers
G. Trainers and their Assistants
H. Game Officials and Referees except independent contractors who are paid for their services*
I. Statisticians and Scorers except independent contractors who are paid for their services*
J. Groundskeepers and Ushers
K. Volunteer workers
L. Concession and Refreshment Stand workers except independent contractors who are paid for their service* M. Individual Participants and Players

*Third party contractors involved should provide their own insurance coverage

Exclusions

1. Aircraft/ Hot Air Balloon Rides
2. Abuse/Molestation
3. Airport
4. Amusement Devices
5. Bungee Jumping
6. Inverted Aerial Maneuver
7. Leased/Loaned/Rented Recreational Vehicle
8. Object Propelled
9. Participant Legal Liability for BOX biking and Mountain biking
10. Player vs. Player Claims
11. Pyrotechnicians/Fireworks
12. Rodeo and Roping Event

If you are scheduling an excluded event, please contact the Marsh Customer Service Center at 866-838-9536 between 6:00 am and 3:00 pm Pacific Time. Your request will be submitted for potential placement of coverage.

Request a Certificate

All requests for Certificates of Insurance must be directed to the Marsh Service Team. Contact information provided below:

Marsh CampusConnexions Service
Email: plsdsteam@marshpm.com
Service phone number: 866-838-9536
Service fax number: 515-365-3005

Please print and complete the following registration form to be submitted to the Marsh Service Team.

Please click here for information on the University of California Accident Medical policy.

Claims Reporting

Claims Reporting:

Philadelphia Process (Liability Claims)

How to report a claim:

Step 1 – Gather the Facts

When reporting a notice of loss (injury, property damage to third parties, auto accidents, etc.; related to a registered event), please provide as much detail as possible. This should include, but not be limited to, Insured Name (The Regents of the University of California plus student organization/club name), Contact Name (student organization/club), Policy Number, Claimant Name, Claimant Contact Information, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) and Description of Damage and Estimated Amount of Loss.

Step 2 – Report

  • Available Online – Click here to report a claim
  • Philadelphia Insurance Companies
    Attention Claims Department
    One Bala Plaza, Suite 100
    Bala Cynwyd, PA 19004-0950
     
  • Phone – 800-765-9749
    Fax – 800-685-9238
    Email – claimsreport@phlyins.com

Step 3 – Follow Up

The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.

Click here for information on how to report a University of California Accident Medical claim. You must report the accident to ACE prior to reporting to Philadelphia or HCC.

ACE Process (Accident Medical Claims)

Step 1 – Gather the Facts

When reporting a notice of an injury to a member and/or participant, please provide as much detail as possible about the circumstances of how the injury occurred. The information you gather will be needed on the claim form, see below, and the servicing representative will obtain further information when needed. Details should include, but not be limited to, Insured Name (UC Campus and full name of the student organization/club), student organization/club Contact Name, Policy Number (provided on form), Injured Member/Participant Name, Date of Loss, Description of the Injury, Description of the Event where the Injury Occurred, Physical Location where Injury Occurred, Cause of Injury, Your Reference Number (if applicable), Initial Steps Taken to assist the injured participant, any medical reports or invoices received from or on behalf of the injured participant.

Step 2 – Report

  • ACE Accident Claim Form in PDF – Click here
    Follow the instruction on the form, complete the form and obtain the required signatures and mail to:
  • ACE American Insurance Company
    P. O. Box 15417
    Wilmington, DE 19850
  • Phone – 800-336-0627 or 302-476-6194
    Fax – 302-476-6154
    Email – Diana.Basa@ace-ina.com

Step 3 – Follow Up

The claims customer service department will immediately process your report and you and the injured participant will be contacted by your servicing representative.

HCC Process

How to report a claim:

Step 1 – Gather the Facts

When reporting a notice of loss, please provide as much detail as possible. This should include, but not be limited to, Insured Name, Contact Name, Policy Number, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) of Damage and Estimated Amount of Loss.

Step 2 – Report

  • HCC Specialty Underwriters, Inc.
    401 Edgewater Place, Ste 400
    Wakefield, MA 01880
  • Phone – 800-927-6306
    Fax – 781-994-6001

Step 3 – Follow Up

The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.

 


© 2011 Marsh Global Consumer, a service of Seabury & Smith  | AR Ins. Lic. #245544  |  CA License #0633005
Privacy Policy