FAQ | Contact Us | Program Details USA RUGBY MEMBER ACCIDENT INSURANCE Summary of Coverage WHO IS COVERED? All registered members of USA Rugby, including athletes, coaches, officials, referees and executive administrators. WHAT IS COVERED? Accidental injury that occurs at USA Rugby clubs, SBRO’s, LAU’s, TU’s and Rookie Rugby sponsored sanctioned and supervised activities and direct travel. WHAT ARE THE BENEFITS? Excess Accident Medical Expense: $ 25,000 Deductible, with Primary Insurance: $ 1,000 Deductible, without Primary Insurance: $ 2,500 Catastrophic Accident Medical Expense: $ 250,000 Deductible (satisfied by Basic Accident): $ 25,000 If an accidental injury results in the need for medical care within 90 days of the accident, coverage will pay the reasonable and customary medical charges of medically necessary medical services up to the maximum amount. Medical expenses must be incurred within 52 weeks of the date of accident for coverage to apply. Accidental Death & Dismemberment:$ 7,500 (See Schedule below) WHAT IS NOT COVERED? A loss shall not be a Covered Loss if it is caused by, contributed to, or resulted from: ACTIVITES THAT ARE NOT RELATED TO RUGBY PLAY Illness, disease or infection Repetitive motion injuries will be closely reviewed (prior injury aggravated by current play) Pre-existing conditions Travel or flight in an aircraft except to the extent stated in the travel hazards Loss caused by or resulting from an insured being intoxicated or under the influence of any narcotic unless directed by a physician and used in accordance with the prescription Loss caused by or resulting from the insured’s emotional trauma, mental or physical illness, disease, pregnancy, childbirth or miscarriage, bacterial or viral infection or bodily malfunctions Losses as a result of a crime (including Assault and Battery) and including an insured’s participation in the commission or attempted commission of any felony Loss resulting from suicide, attempted suicide or loss that is intentionally self-inflicted War or any act of war, declared or undeclared Any Insured’s involvement in any type of active military service Cosmetic, plastic or restorative surgery unless Medically Necessary for the treatment of Covered Injury Any medical expense related to pregnancy unless Medically Necessary for the treatment of the Covered Injury Covered Injury for which the Insured is entitled to benefits under Workers’ Compensation Benefits, Employers Liability Law, or any statutory mandated coverage Personal comfort or convenience items such as but not limited to Hospital telephone charges, television rental or guest meals Treatment by an immediate family member or member of the Insured’s household Expenses incurred for dental care, treatment, repair or replacement of sound natural teeth unless medically necessary for the treatment of the Covered Injury. ACCIDENTAL DEATH & DISMEMBERMENT SCHEDULED BENEFITS: Coverage will pay $7,500 for the accidental loss of life and scheduled benefits for dismemberment as indicated below. The loss must occur within one year of the date of the accident. Both hands or both feet:$ 7,500 One hand and one foot:$ 7,500 One hand or foot, plus sight of one eye:$ 7,500 Sight of both eyes:$ 7,500 Speech and hearing:$ 7,500 Quadriplegia:$ 7,500 Paraplegia:$ 5,625 Hemiplegia:$ 3,750 Speech or hearing:$ 3,750 One hand, one foot; or sight of one eye:$ 3,750 Thumb and index finger of the same hand:$ 1,875 |

