Accident Insurance Policy

Mt. Vernon Township High School has a student accident insurance  program that covers your child for injuries incurred while he or she is  participating in school sponsored and supervised activities including all  athletics. This plan is secondary to any primary insurance the student may currently have. 

The carrier is Guarantee Trust Life Insurance Company. The mandatory  coverage provides up to $25,000.00 per accident. If the cost exceeds the  $25,000.00 the catastrophic coverage will pay up to $5,000,000.00.  Coverage is not provided for injuries which are not caused by an accident  i.e. fights.

No policy is provided for hernia, all types, regardless of cause,  Osgood-Schlatter's Disease, or Osteochondritis.  

The student parent or guardian is responsible for completing and submitting  the information to WEB-TPA. Please complete part 1-B of the accident  form and follow the instructions on the accident form. Itemized bills for  medical expense must be attached to the application. Before mailing you  are encouraged to keep a copy for your records and any follow up you may  need to make with insurance company. Mt. Vernon Township High School is NOT responsible for filing claims.  

YOUR STUDENT WILL BE PROVIDED WITH THE ACCIDENT CLAIM  FORM OR IT WILL BE MAILED TO THE ADDRESS WE HAVE ON FILE.