WIAA Insurance Forms

The student athlete has ‘first dollar’ coverage (zero deductible) for concussion assessment and treatment.

Coverage is secondary/excess to any other valid and collectable insurance but will become the primary payer, if no other insurance is available.

Program Highlights Include:

• $25,000 Accident Medical Concussion Coverage (includes neurological follow-up)

• $0 deductible and no co-pays

• $5,000 Accidental Death + Dismemberment

• Tele-med Services, when needed

• No restrictions on specific doctors

• No referrals needed for treatment

• No internal limits

• No specific procedure maximums

• Neurological follow up care when medically necessary and billed at U&C.

Provide/distribute widely - the WIAA Program Guide and the FAQ’s along with the instruction to see the AD if there’s a need to file a claim or have additional questions. The school may hand out to every athlete/family that brought in their physical card/alternate year card and/or parental permission and code forms.

Ask your trainer and/or coach to let you know immediately of any instance of possible concussion. When there is a reported injury and the need to file a claim, then get the athlete/family the Dear Provider Letter, the HeadStrong Claims form and Alternate Insurance form. In addition, provide the who to contact info and how to file a claim which is included in the Program Guide.

A school administrator must sign the claim form on the bottom "Insured Representative" to verify the incident happened at a WIAA event/practice.

None of the forms need to come back to or through the WIAA office. It works directly through school Athletic Trainer/AD/administration (to sign the form), to the family, to the carrier.