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American Youth Soccer Organization Providing world class youth soccer programs that enrich children's lives.

AYSO 214 South Pasadena/San Marino

Soccer Insurance

Soccer Insurance for Your Player

AYSO purchases Soccer Accident Insurance ("SAI"), which pays excess medical costs up to $50,000 maximum per accident to an insured person for accidental bodily injuries incurred as a direct result of participation in a covered activity subject to the policy terms, conditions and exclusions.Eligibility for benefits is 52 weeks from the policy effective date or the date of a covered accident. Download the SAI Brochurefor more detailed explanation of the plan. Accident Medical Expense Benefits are only payable:

  • for usual and customary charges incurred after the deductible has been met;
  • for those medically necessary covered expenses that the covered person receives;
  • first medical or dental expense must be incurred within 90 days of covered accident;
  • proof of loss must be filed within 90 days;
  • each claim is subject to a $1000 Deductible; and 20% member Coinsurance;
  • Claims will require:
    • Copies of primary Explanation of Benefits (EOB)
    • Copies of itemized insurance billing forms - UB04 or CMS1500
  • No Primary Insurance: If there is no other insurance available to the registered member, the medical benefit will be processed on a primary basis subject to Usual and Customary rates, and the policy terms, conditions and exclusions.

  • MAXIMUM BENEFITS PAYABLE: (subject to policy terms, conditions & limits)
    • $50,000 maximum excess medical costs
    • $15,000 for Accidental Death & Dismemberment
    • $10,000 for Dental Benefit for injuries to sound natural teeth
    • $10,000 for Orthopedic Benefit
    • $1,000 Physical Therapy; $100 per day up to 10 days

All AYSO currently registered* members (players, coaches, managers, team workers, referees, officials and volunteer workers) are "Covered Persons" for accidental bodily injury while participating in the following covered activities:

  • Team practice sessions, scheduled games, tournaments, or other sponsored activities (meetings, banquets, fundraisers) provided they are under the direct supervision of an AYSO registered volunteer.
  • Travel of covered members to and from a sponsored activity such as practice sessions, games, tournaments, or AYSO sanctioned activities, provided that players are traveling as a team and a licensed adult driver operates the vehicle.

Registration requirements will be verified before any benefits are paid. 

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AYSO Region 214 South Pasadena and San Marino

PO Box 214 
South Pasadena, California 91030

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