INJURY REPORT

Student Accident Insurance:

ECS school insurance is an EXCESS COVERAGE ONLY policy to supplement existing family medical insurance. The student's family is responsible to first submit accident claims for payment under their "PRIMARY" insurance coverage plans. All claims will be reviewed. It is not guaranteed that medical reimbursement will be 100%.

Reporting Procedure:

1. Report all injuries to coach/teacher and school nurse immediately. The school nurse will complete the injury/incident report.

2. The school nurse will complete part "A" of the student accident claim form and mail it to the injured child's parents.

3. The parent completes part "B" of the claim form and follows the claim instructions for submitting claims.