The Philadelphia Indemnity Insurance policy will provide $2,000,000 coverage for the following participants:
*Third party contractors involved should provide their own insurance coverage
GENERAL LIABILITY INSURANCE POLICY EXCLUSIONS
All requests for Certificates of Insurance must be directed to the AMBA Service Team. Contact information provided below:
Email: [email protected]
Service Phone Number: 1-866-838-9536
Please print and complete the following registration form to be submitted to the AMBA Service Team.
For more information view the University of California Accident Medical Insurance Policy Summary.
If your sports club has been recognized and approved by the University Recreational Sports Department as a new club or your dance club is eligible for coverage as a new dance club under the Rec Sports Clubs liability policy, please add your club to the policy by completing the Recreation Sports/Dance Clubs Insurance Program Add/Delete Form provided (to the right).
Alternatively, complete this form to delete any sports or dance clubs from the policy that have become inactive and will stay inactive for the remainder of the policy period (March 1-March 1).
Email the completed form to AMBA CampusConnexions at [email protected].
If you have any questions, please call us Monday - Friday, 8am-5pm CT at 1-866-838-9536.
Crum & Forster Specialty Insurance Company (Liability Claims)
When reporting a notice of loss (injury, property damage to third parties, auto accidents, etc.; related to a registered event), please provide as much detail as possible. This should include, but not be limited to, Insured Name (The Regents of the University of California plus student organization/club name), Contact Name (student organization/club), Policy Number, Claimant Name, Claimant Contact Information, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) and Description of Damage and Estimated Amount of Loss.
a. Online: CFConnect.cfins.com
A Crum & Forster issued User ID and Password is required to report a claim online. Please email [email protected] if you do not have one.
b. Email: [email protected]
c. Phone: 1-800-690-5520
d. Fax: 1-877-622-6218
The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.
Philadelphia Process (Liability Claims)
When reporting a notice of loss (injury, property damage to third parties, auto accidents, etc.; related to a registered event), please provide as much detail as possible. This should include, but not be limited to, Insured Name (The Regents of the University of California plus student organization/club name), Contact Name (student organization/club), Policy Number, Claimant Name, Claimant Contact Information, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) and Description of Damage and Estimated Amount of Loss.
The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.
For information on how to report a University of California Accident Medical claim, view the instructions below for the ACE Process. You must report the accident to ACE prior to reporting to Philadelphia.
CHUBB Process (Accident Medical Claims)
IMPORTANT NOTICE: Written notice of claim must be provided within 90 days of the loss. Written proof of loss must be provided within 90 days after the date of loss. If it cannot be provided within that time period, it should be sent as soon as reasonably possible. In no event, except in the absence of legal capacity, will proof of loss be accepted more than one year from the date it was otherwise required.
When reporting a notice of an injury to a member and/or participant, please provide as much detail as possible about the circumstances of how the injury occurred. The information you gather will be needed on the claim form, see below, and the servicing representative will obtain further information when needed. Details should include, but not be limited to, Insured Name (UC Campus and full name of the student organization/club), student organization/club Contact Name, Policy Number (provided on form), Injured Member/Participant Name, Date of Loss, Description of the Injury, Description of the Event where the Injury Occurred, Physical Location where Injury Occurred, Cause of Injury, Your Reference Number (if applicable), Initial Steps Taken to assist the injured participant, any medical reports or invoices received from or on behalf of the injured participant.
The claims customer service department will immediately process your report and you and the injured participant will be contacted by your servicing representative.