Insurance

INSURANCE


Youth Basketball of America Team Membership includes secondary Accident Insurance for our players and coaches.  This coverage incorporates liability coverage and Additional Death and Dismemberment coverage as well.  Detailed information is available below.

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Insurance Coverage Information Accident Medical/AD&D Overview


Accidental Medical Expense

              

Players

         

Coaches

Maximum Benefit Per Injury

 

$25,000

 

$25,000

Deductible Per Injury

 

$500

 

$500

Deductible Type

 

Integrated

 

Integrated

Benefit Period (in weeks)

 

52

 

52

Primary or Excess

 

Excess

 

Excess

Reporting Period (in days)

 

90

 

90

         

Accidental Death

 

Players

 

Coaches

Principal Sum

 

$10,000

 

$10,000

         

Accidental Dismemberment

 

Players

 

Coaches

Maximum Benefijt

 

$10,000

 

$10,000


Limitations and Excluded Expenses


Excluded Expenses

The following will not be considered Covered Expenses unless coverage is specifically provided:

  1. Blood, blood plasma or blood storage, except expenses by a Hospital for processing or administration of blood;

  2. Cometic surgery, except for reconstructive surgery needed as the result of a Covered Loss;

  3. Any elective or routine treatment, surgery, health treatment or examination, including any service, treatment of subbilies that: (a) are deemed by the Company to be experimental or investigational; and (b) are not recognized and generally accepted medical practice in the United States;

  4. Examination or prescriptions for, or purchase, repair or replacement of, eyeglasses, contact lenses, hearing aids, wheelchairs, braces, applicances, orthopedic braces or orthotic devices;

  5. Treatment in any Veteran's Administration, Federal, or State facility, unless there is a legal obligation to pay;

  6. Services or treatment provided by persons who do not normally charge for their services, unless there is a legal obligation to pay;

  7. Rest cures or custodial care;

  8. Repair or replacement of existing dentures, partial dentures, braces or bridgework;

  9. Personal services such as television and telephone transportation;

  10. Expenses payable by any automobile insurance policy without regard to fault;

  11. Services or treatment provided by an infirmary operated by the Policyholder;

  12. Treatment of HIV/AIDS, meaning Human Immunodeficiency Virus or Acquired Immune Deficiency Syndrome or AIDS Related Complex (ARC) regardless of the means by which it was acquired;

  13. Treatment or service provided by a private duty nurse;

  14. Treatment of injuries that result over a period of time (such as blisters, tennis elbow, etc.), and that are a normal, foreseeable result of participation in the Covered Activity;

  15. Treatment of Hernia of any kind. Hernia means a rupture or protrusion of an organ or part through connective tissues or through a wall of a cavity in which it is normally enclosed;

  16. Treatment of an injury resulting from a condition that the Insured Person knew existied on the date of a Covered Loss, unless the Company has received a written medial release from his Physician;

  17. Charges for any article of clothing intended for use more than once;

  18. Repair or replacement of existing artificial limbs, eyes and larynx;

  19. Treatment of an injury resulting from or contributed to by frostbite, fainting or seizures, or heatstroke or heat exhaustion.

 

Common Exclusions

In addition to any benefit or coverage specific exclusion, benefits will not be paid for any loss which directly or indirectly, in whole or in part, is caused by or results from any of the following unless coverage is specifically provided for by name in the Benefits Section or Covered Conditions:

  1. Intentionally self-inflicted injury, suicide, auto-eroticism or any attempt while sane or insane;

  2. Commission or attempt to commit a felony or an assault;

  3. Commission of or active participation in a riot or insurrection;

  4. Declared or undeclared war or act of war or any act of declared or undeclared war unless specifically provided by the Policy;

  5. Release, whether or not accidental, or by any person unlawfully or intentionally, of nuclear energy or radiation, including sickness or disease resulting from such release;

  6. A Covered Loss that occurs while on active duty service in the military, naval or air force of any country or international organization. Upon our receipt of proof of service, the Company will refund any premium paid for this time. Reserve or National Guard active duty training is not excluded unless it extends beyond 31 days;

  7. Travel or activity outside the contiguous United States;

  8. Flight in, boarding or alighting from, an aircraft or any craft designed to fly above the Earth's surface: (a) except as a fare-paying passenger on a regularly scheduled commercial airline; (b) being flown by the Insured Person or in which the Insured Person is a member of the crew; (c) being sued for (i) crop dusting, spraying or seeding, giving and receiving flying instructions, fire fighting, sky writing, sky diving or hang-gliding, pipeline or power line inspection, aerial photography or exploration, racing endurance test, (ii) any operation that requires a special permit from the FAA, even if it is granted (this does not apply if the permit if required only because of the territory flown over or landed on; (d) designed for flight above or beyond the earth's atmosphere; (e) including an ultra-light or glider; (f) beign used for the purpose of parachuting or skydiving; (g) being used by any military authority, except an Aircraft used by the air mobility command or its foreign equivelant;

  9. Travel in any Aircraft owned, leased or controlled by the Policyholder or any of its subsidiaries or affiliates. An Aircraft will be deemed to be "controlled" by the Policyholder if the Aircrat may be used as the Policyholder wishes for more than 10 straight days, or more than 15 days in any year;

  10. Sickness, disease, bodily or mental infirmity, bacterial or viral infection or medical or surgical treatment thereof, including exposure, whether or not accidental, to viral bacterial or chemical agents whether the loss results directly or non directly from the treatment except for any bacterial infection resulting from an accidental external cut or wound or accidental ingestion of contaminated food;

  11. Medical or surgical treatment, diagnostic procedure, administration of anesthesia, or medical mishap or negligence, including malpractice unless it occurs during treatment of injuries sustained in a Covered Injury;

  12. A cardiovascular, event or stroke resulting, directly and independently of all other causes, from exertion, as verified by a Physician, while the Insured Person participated in a Covered Activity;

  13. Voluntary ingestion of any narcotic, drug, poison, gas or fumens, unless prescribed or taken under the direction of a Physician and taken in accordance with the prescribed dosage;

  14. The Insured Person's intoxication. The Insured Person is conclusively deemed to be intoxicated if the level in his blood exceeds the amount at which a person is presumed, under the law of the locale in which the accident occured, to be under the influence of alcohol if operating a motor vehichle, regardless of whether he is in fact operating a motor vehicle, when the injury occurs. An autopsy report from a licensed medical examiner, law enforcement officers report, or similar items will be considered proof of the Insured Person's intoxication;

  15. Travel in or on any on-road and off-road motorized vehicle except a golf cart or other vehicle we specifically agree to cover, that doesn not require licensing as a motor vehicle;

  16. Participation in any motorized race or contest of speed;

  17. An accident if the Insured Person is the operator of a motor vehicle and does not possess a valid motor vehicle operator's license, unless; (a) the Insured Person holds a valid learners permit and (b) the Insured Peson is receiving instruction from a driver's education instructor;

  18. Injuries compensable under Worker's Compensation law or any similar law;

  19. Participation in any sports activity not specifically authorized, sponsored and supervised by the Policyholder whether or not it takes place on Policyholder premises or during a Covered Activity, including but not limited to snowboarding, skateboarding, motorcycle racing, racing rocket-powered, jet propelled or nuclear-powered vehichles;

  20. Participation in any team sport or any other athletic activity, except participation in a Covered Activity.

In addition, benefits will not be paid for services or treatment rendered by any person who is: (a) employed or retained by the Policyholder; (b) living in the Insured Person's household; (c) an Immediate Family Member including Eligible Domestic Partner of either the Insured Person or the Insured Person's spouse; (d) the Insured Person.