2020-21 Ohio Student Accident Insurance Program (Multi-Benefit Protection)

This is an optional coverage plan. There are different options for each grade level and sports – specifically football.

To be clear, this coverage is not health insurance but it will offset some of the costs to injuries and hospital visits. Below you will find links to specific options and limits on each level of coverage.

To sign up for a plan, a Student Enrollment Form must be completed  and mailed along with a check to enroll your child. The date on the check will be used as the effective date of the child’s coverage. If a claim needs to be filed, the attached claim form will need to be completed and sent to Guarantee Trust Life Insurance Company directly with all requested information. 

 

Insurance Program Brochure

 

Enrollment Form

 

Claim Form

 

Grievance Procedure

 

Accident Policy