Accident and Sickness Insurance

• To view your insurance plan brochure, click here
• Colorado State University – Ft. Collins – College Accident and Sickness Claim Form (72K PDF)*
• College Accident and Sickness Claim Form (92K Enterable PDF)*
• Washington State Service Corps Claim Form (92K Enterable PDF)*
• Authorization to Release Information (24K PDF)*
• Claim Filing Instructions (16K PDF)*
• Accident & Sickness Insurance Request for Quotation Form
  (35K Enterable PDF)*

Coaches' Choice: Camps and Clinics

• Online Camp/Clinic Insurance Application - Credit Card Payment Required
  Please review the list of eligible sports to make sure your program qualifies.
• Camp/Clinic Brochure & Application (170K PDF)*
• Medical Claim Form (71K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)*

Coaches' Choice: Teams and Leagues

• Online Team/League Insurance Application
• Team/League Brochure & Application - Standard Package (143K PDF)* Limits
• Medical Claim Form (71K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)*

Teams and Leagues Supplemental Applications:

Sexual Abuse Questionaire (72K PDF) Team/League Applicaiton - Directors & Officers (118K PDF) Team/League Application - Hosted Tournament (70K PDF) Team/League Application - Equipment & Contents (Inland Marine) (80K PDF) Team/League Brochure & Application - Higher Limits (83K PDF) ($2 Million GL Per Occurrence/$100,000 Participant Medical) Team/League Brochure & Application - Higher Limits (143K PDF) ($2 Million GL Per Occurrence/$250,000 Participant Medical) Team/League Application - Class A (139K PDF) Class A eligible sports.

Coaches' Choice: Sports Instructor Insurance Program

• Benefits & Application (118K PDF)*

Coaches' Choice: Fitness Instructor Insurance Program

• Benefits & Application (119K PDF)*

Youth Day Camps Insurance Program

• Benefits & Application (152K PDF)*

Coaches' Choice: Tournaments and Events

• Tournaments/Events Policy Benefits and Application(141K PDF)*
• Tournaments/Events Brochure and Application - Spectator Only(140K PDF)*
• Medical Claim Form (71K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)*

Dance School: Sure Step

• The Sure Step Dance School Insurance Program Form (205K PDF )*
• Sure Step Dance School Insurance Program (284K PDF)*
• Sure Step Dance Claims Form (71K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)*

Intercollegiate Sports

• Athletic Accident Medical Insurance Quotation Request Form Spreadsheet
  (375K XLS, requires Microsoft Excel)
• NAIA INSTITUTIONS: Group Purchase for Catastrophic Athletic Insurance Enrollment Form (112K PDF)*
• NAIA INSTITUTIONS: Club/Intramural Catastrophic Insurance Enrollment Form (216K Enterable PDF)*
• NJCAA INSTITUTIONS: Catastrophic Athletic Insurance Enrollment Form (160K Enterable PDF)*
• NJCAA INSTITUTIONS: Club/Intramural Catastrophic Insurance Enrollment Form (192K Enterable PDF)*
• GENERAL: Catastrophic Athletic Insurance Enrollment Form (132K Enterable PDF)*
• GENERAL: Club/Intramural Catastrophic Insurance Enrollment Form (164K Enterable PDF)*
• Athletic Accident Medical Insurance - Accident Medical Insurance for Intercollegiate Sports (364K PDF)*
• NAIA INSTITUTIONS: Catastrophic Athletics Injury - Accident Insurance for College Sports (176K PDF)*
• NJCSS INSTITUTIONS: Catastrophic Athletics Injury - Accident Insurance for College Sports (168K PDF)*
• GENERAL: Catastrophic Athletics Injury (160K PDF)*
• Intercollegiate Sports Claim Form - Kansas City Office (79K PDF)*
• Intercollegiate Sports Claim Form - Salt Lake Office (61K PDF)*
• Authorization to Release Information (24K PDF)*

Martial Arts: The Defender

• Online Defender Insurance Application
• The Defender Insurance Program Application Form (32K PDF )*
• The Defender Insurance Program (212K PDF)*
• Martial Arts Claim Form (168K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)*

Tumble Time Gymnastics

• Online Application currently unavailable due to maintenance. Please use PDF application to print and submit for a quote.
• Tumble Time Gymnastics Club Insurance Application (105K PDF)*
• Tumble Time Benefits Brochure (212K PDF)*
• Gymnastics Claim Form – Nationwide Mutual (71K PDF)*
• Gymnastics Claim Form – National Union Fire (168K PDF)*
• Liability Incident Notification Form (23K PDF)*
• Authorization to Release Information (24K PDF)