The College shall reimburse an intercollegiate student athlete or manager for injuries sustained:
- while he or she is participating in or performing directly assigned duties related to a College sanctioned intercollegiate athletic event ("event");
- which occurs during travel to and from the location of an event; or
- which occurs during a temporary stay at the location of an event, except sustained during free time unrelated to the event.
The College shall also reimburse students enrolled in certain courses, typically related but not limited to allied health and for which a fee for specific courses is charged to cover the cost of accidental injuries sustained directly from and during their course of instruction. Injuries sustained while traveling to and from the place of instruction shall not be reimbursed.
A completed School Activities Notification of Injury Form must be submitted to the Risk Management Department prior to or within 48 hours after treatment is obtained. The College official signing the School Activities Notification of Injury Form is verifying the injury is sustained as described above. The Executive Director of Risk Management is authorized to accept the form after 48 hours, if necessary. Medical service must begin within 14 days of the accident.
The reimbursement by the College shall be for eligible covered expenses only including deductibles, copays, charges in excess of valid and collectible insurance, or for other eligible medical expenses not paid by insurance. Students must submit the claim to their personal insurance and an Explanation of Benefits (EOB) provided to the College before reimbursement is made. The request for reimbursement from the College must be submitted within 90 days from the date of service. All bills submitted must be itemized for services and show dates for each service or treatment.
Reimbursements shall be made to the students, who retain responsibility and obligation for payment to their medical providers. The Risk Management department may make arrangement for direct billing, including negotiating discounts, for the convenience of the students; however, all decisions regarding selection and provision of health care are strictly up to the student.
In the event a student described above does not have insurance, reimbursement shall be made based on a receipt from the provider of amounts paid by the student. The College may make arrangements with a provider for direct billing and payment for the student in order to allow the student access to medical services. In the event a student is uninsured and prior to the student seeking medical care, the Athletic Department or other designated Campus personnel shall provide information to the student regarding providers with which the College has existing direct payment arrangements and provide an authorization for treatment with that provider.
All second opinions must be authorized by the Executive Director of Risk Management prior to seeing another provider.
The lifetime reimbursement limit is stipulated in the College's Administrative Procedures Manual.