skip navigation

Insurance

Webinar on Directors and Officers (D&O) Insurance

Passcode: J#DCw2Ae

ALL PLAYER ACCIDENT CLAIMS MUST BE COMPLETED ONLINE. After January 14, 2024, USASA will no longer accept paper claims.

A reminder that this is a supplemental accident insurance policy. For additional benefit information, please see the summary links below.

You can submit an injury claim If you are a registered USASA player and your injury occurred during a sanctioned USASA event. Players need to file their claim within one year from the date of the injury. 

When completing the claim, please make sure your contact information is correct. You will receive a couple of emails and an acknowledgment letter by mail with further instructions after your claim is approved.

The email addresses you will receive communication from are:

cdxnotify@agadministrators.com and affinity@agadm.com

Please check your spam/junk files before contacting your member association. 

Claim Filing Instructions


Summaries


25k League Buy-Up Insurance Form


WAIVERS


D&O REIMBURSEMENT FOR USASA MEMBERS

Direct members of the USASA are eligible for reimbursement of their D&O policy. (State Associations, National Leagues, Regional Leagues, and Affiliates)

1. Obtain a Quote from USI:

You must obtain a quote from USI Insurance Services to begin the reimbursement process. You can do this by completing the application form and emailing it to Heidi.Palmer@usi.com.

2. Purchase the Policy from USI:

Once you receive the quote, you purchase the insurance policy directly from USI. 

3. Submit Reimbursement Request Form:

After buying the policy, complete the reimbursement form using the link below. You must upload your quote and proof of payment into the form.

SAFE SOCCER