Below you will find downloadable forms for the K-12 Voluntary Accident Insurance Plan offered by your school district
Helpful information about the policy
LOW OPTION = 65% of coverage up to $25,000
MEDIUM OPTION = 75% of coverage up to $50,000
HIGH OPTION = 100% of coverage up to $100,000
The carrier for all voluntary policies is Gerber Life Insurance Company
The address is PO Box 2415 Grapevine, TX 76099-2415
The phone number to call for claim service or status is (866) 975-9468
The fax number to submit claims and bills is (469) 417-1969 you may also email email@example.com
All claims MUST be reported within 90 days of injury!
Premiums listed on the applications and website are for the school year.
The premium is a one time fee for the school year and cannot be prorated.
If you have Medi-Cal, this coverage will not benefit your student/child.
If you have personal insurance, this policy will be secondary.
If you have a deductible with your personal insurance, this policy will help pay the percentage indicated on the purchased premium.
Football Coverage is ONLY for Football related accident.
24-hour coverage will cover the student/child anywhere in the US home or school.
School Time coverage is only for accidents that happen on campus and during a school-sponsored supervised activity.
SPECIAL RISK PLANS AVAILABLE TO ALL SCHOOLS AND GROUPS:
- Day/Overnight Camps
- Youth & Sports Camps
- Community and School Sponsored Clubs
- Nursery/Day Care Centers
- Catastrophic Coverages
Download and complete the application below for a free quote!