Print Email
 

insurance



 

To File a Claim: Parents have up to 15 months from the date of the injury to submit claim form.  For claims to be eligible for coverage, you must seek medical attention within 90 days of injury.
 

1. Parents need to complete a claim form from the Insurance link below
 
2. After you complete the form, please email it to Laura Sturdivant, Executive Director at Executivedirector@dysa.org
 
3. DYSA will validate the claim and forward to K & K Insurance/Specialty Benefits.  K & K Insurance will send you a coverage letter     and your claim number.  Advise your Doctors/Hospital so they can file claims directly to your primary insurance first, and K & K         Insurance/Speciality Benefits second.
 
4. Itemized bills are required: You or your providers must submit itemized bills with your primary insurance explanation of benefits       (if applicable); balance due or notices do not provide the information needed to process your claim. Payments will be made to          you if itemized bills indicate that they have been paid.  Otherwise, payments will be made directly to the doctor, hospital or other      service provider.
 
5. Parents will hear directly from the insurance company and not DYSA if there are any questions or problems with your claim
 
 
 
Insurance Certificates and Additionally Insured

 

Beginning with the 2008-2009 season the following procedure will be put into effect for obtaining insurance certificates:
 
Delaware Youth Soccer Association will issue an insurance certificate for each member club in September of the seasonal year.
 
Delaware Youth Soccer Association will issue an insurance certificate to Independent teams upon successful completion of the registration process
 
Lost or additional certificates may be obtained from Delaware Youth Soccer Association for a fee of $25.00 per certificate
 
If a club would like to obtain additional certificates (field use, gym use, etc.) please have the club president send request to the Executivve Director at, Executivedirector@dysa.org.  Please send,

 
  • Name of the Facility to be insured
  • Address of the Facility to be insured
  • Mail a check for $25.00 to DYSA, 222 Benjamin Blvd., Bear, DE 19701 (per certificate).  Payment must be received prior to issuing certificate.
 
Please allow 2-5 business days to process. Requests will not be taken from individual teams.
 
 
 
 
Delaware Youth Soccer is a member of
US Youth Soccer, US Soccer, and FIFA
usys ussoccer fifa  

©2017 Delaware Youth Soccer Association. All rights reserved.
Home | Privacy Policy | Contact Us | Sitemap

Website design and Website Development by Americaneagle.com

 
usyouthsoccer.org