Association and League Form

Smaller organizations (less than 200 players) with limited coverage needs can quote and purchase coverage online immediately by clicking here.

Larger organizations requiring a customized quote or organizations with more complex coverage needs, please use the below web form to submit the underwriting information to us.

Applicant Information

Type of Business:

Athletic Participant Exposure Information

Please provide the estimated annual number of participants for each sport and age group. Coverage will only be provided for the sports and age groups you indicate below.

Age Group Sport Played Total Players

Underwriting Information

1. Was your organization formed more than 3 years ago?
2. Does the organization require a Waiver / Release forms from all participants?
3. Does the organization have and enforce written standards regarding Sexual Abuse and Molestation?
4. Does the organization conduct criminal background checks on all coaches and staff members?
5. If yes to questions 3 & 4, are you interested in coverage for claims regarding Sexual Abuse / Molestation?
6. What liability limits for Sexual Abuse do you want quoted? 7. Does your organization have a written concussion awareness policy that is in compliance with current state legislation?
8. Do you distribute the written concussion awareness policy to coaches, parents, and players?
9. Does your concussion policy require a medical doctor’s release prior to the child returning to play after a suspected concussion?

Claims History

Is there prior insurance coverage?
Has the organization had any general liability or sexual abuse claims within the last 3 years?

Questions / Comments