While participating in WSA sanctioned activities, players, coaches, administrators and volunteers, properly registered with WSA and one of its affiliated clubs, are provided secondary medical insurance. In addition there is coverage under a primary general liability policy for bodily injury or property damage to spectators, game participants, and to members of the general public.
Injury claims against the medical insurance must be submitted to WSA within 90 days of the occurrence of the injury. Medical claims are submitted online. For approval of claims for injuries that occurred during participation or travel to any event out of USYS Region IV, a properly executed notification of travel must have been submitted and approved.
HOW TO SUBMIT A CLAIM
The Parent or League Guardian Must Submit the Claim Information
- The injured player’s parent or legal guardian will access the online claim form by following the INSURANCE CLAIM FORM HERE.
Click on the appropriate state soccer association – WYOMING SOCCER (WSA) and a new screen will appear with the medical claims process overview. Please read this carefully!
- After continuing through the overview pages the parent/guardian will input the claimant information.
After completing Section V – Statement of Certification / Authorization to Release Information and submitting the report an automatic email will be generated. The email will advise the parent the report has been submitted to WSA and it is awaiting review; WSA will also receive a copy of the email. The email will serve as notice to the WSA that a medical claim has been reported and needs to be reviewed.
Wyoming Soccer Association Review and Verification
Please feel free to contact the state office with any questions or concerns you may have regarding the online claims submission. Email email@example.com or call 307-742-2306
A Wyoming Soccer state office will review each claim and assign a status of Pending, Approved, or Denied.
The insurance company claims administrator will then get a copy of the approved claim form.
If the claim is Denied WSA will indicate the reason for the denial and an email will be sent to the parent informing them of the denial and instructing them to contact WSA with any questions.