Soccer Accident Form

Click SAI to view the AYSO Insurance brochure and the SAI Accident Claim for the form.

Click here for the detailed process for filing an accident claim.

AYSO offers Soccer Accident Insurance (SAI), below are the highlights of the coverage.
Please refer to the SAI brochures for coverage specification details. Summary specifications are:
§ Full Excess Policy (any family coverage must be used first)
§ $200 deductible per claim
§ Claims must be filed within 90 days of injury
§ Medical expense benefit $50,000
§ Dental Expense limit $3,500
§ Physical Therapy & Chiropractic limit $1,000
§ Accidental death & dismemberment benefit $10,000
§ Benefit period 104 weeks

For additonal information contact your Safety Director at Safetydirector@shipayso.org