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University of Puget Sound

Puget Sound

Frequently Asked Questions

What is the coverage period?

This plan will cover a student-athlete from the first to the last date a student-athlete is required to be on campus for participation in a covered event.

What is the Excess Coverage Provision?

Benefits are available for covered expenses after all other plans providing medical expense benefits have considered the expenses.

How does this plan work?

  • There is no deductible under this plan.
  • This plan will pay a maximum limit of $25,000 at 100% of the usual, reasonable and customary (URC) for athletic accidents.
  • This plan will pay a maximum limit of $5,000 at 100% of the URC for athletic related conditions. Please refer to the athletic accident plan description for a full description of this benefit as it does not include pre-existing conditions.
  • Initial medical treatment must be received within 90 days from the date of the accident.

What is covered under this plan?

  • The following expenses are covered by the plan: inpatient and outpatient medical care, treatment by a doctor, X-Ray services, laboratory services, ambulance, ambulatory surgical center, prescription medicines and therapeutic services or supplies.
  • Treatment of injury to natural teeth.
  • Athletic Related Conditions (ARC): An ARC condition (only as it relates to intercollegiate sports) includes but is not limited to misuse, overuse, strains, tendonitis, bursitis, degenerative diseases, stress fracture, heat stroke and similar conditions. Such conditions must manifest itself while the covered person is insured by this policy and while practicing, playing or traveling to or from an intercollegiate sports event as a member of the sports team.

Are there exclusions or limitations?

This plan contains certain Exclusions and Limitations.  Please obtain a copy of the plan description in order to determine if services would be covered under this Plan.

How do I obtain/submit a claim?

Once a Puget Sound staff athletic trainer is notified of an injury and it requires the services of an outside medical provider, the student-athlete will receive a claim form to complete and then return to the athletic training staff.  The appropriate athletic trainer will complete the institutional portion of the claim for and submit it to EIIA/NAHGA Claim Services. 

Who do I contact if I receive bills or have questions related to an Intercollegiate Insurance Claim?

Craig Bennett can be reached at (253) 879-3441 or by email at cabennett@pugetsound.edu , regarding questions pertaining to the Puget Sound Intercollegiate Insurance Plan and billing related to a specific injury/claim.