Claims for Sporting Event Insurance and Tournament Insurance

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Coaches' Choice: Tournaments/Events

Claims

Download, print, and complete the appropriate form below to submit a Coaches' Choice Claim.

Mail completed forms to:
Summit America Insurance Services
Attn: Claims Division
7400 College Boulevard, Suite100
Overland Park, KS 66210

Or fax to:
913-327-7520

A representative of our staff will respond to your request promptly.

Medical Claim Form
(71K PDF)*

Liability Incident Notification Form
(23K PDF)*

Authorization to Release Information
(24K PDF)*

* PDFs require Adobe Reader v.6.0 or later

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Overland Park Office 7400 College Boulevard, Suite 100 Overland Park, KS 66210 1-800-955-1991	Salt Lake City Office 2180 South 1300 East, Suite 520, Salt Lake City, UT 84106 1-800-955-1991 ext. 198	All Rights Reserved. Terms of use