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Insurance

CSSA Certificate of Insurance Request Form Instructions

  1. 2023 COI Processing
  2. Please fill out the COI Request Form completely and accurately. Please make sure email addresses for the Team Manager and Facility Owner are included.
  3. Unless you are only going to play on one field, please enter ALL FIELDS in "Facility Name," so you will be covered for all fields in that Town.
  4. If there are several teams that play on the same fields, one COI can be issued for all teams, so, please group all teams to make things easier for everyone.
  5. Email a copy of the form to the COI Coordinator Julia Connor. Her email address is CSSASecGen@gmail.com and is listed at the top of the form.
  6. Do NOT send the form to the U.S.A.S.A. 
  7. Please allow for a regular processing time of 7 days. PLEASE PLAN ACCORDINGLY AND SUBMIT WELL IN ADVANCE.

Player Accident Insurance (PAI) and Liability Insurance Coverage

Insurance coverage for CSSA participants is provided by the US Adult Soccer Association (USASA), the primary adult council member of US Soccer.  

USASA Insurance information, including insurance summaries, can be found on the USASA website.

Filing an Insurance Claim - Injury

  1. *** CLAIMS ARE DUE TO USASA 90 DAYS FROM DATE OF ACCIDENT -PLEASE SUBMIT YOUR CLAIM TO CSSA AT LEAST 60 DAYS FROM DATE OF ACCIDENT.  
  2. *** CLAIMS RECEIVED AFTER 90 DAYS MAY NOT BE HONORED BY USASA ***

Coverage Information:
The USASA Insurance Resource Center includes the Claim Form, Claim Filing Instructions, and other information regarding this coverage.

USASA RELEASE OF LIABILITY AGREEMENT

The US Adult Soccer Association (USASA) provides CSSA affiliated leagues and clubs ("member organizations") liability insurance.  Please note the following requirements and guidelines regarding the USASA Release Of Liability Agreement (AKA "waiver"), linked below:

1. The below waiver supersedes previous USASA waivers.  Before play, all players must be registered and sign/acknowledge this waiver.   

2.  Electronic signatures are acceptable.

3.  Member organizations are responsible for retaining the waivers on file.  The recommended period to retain them is seven (7) years.

4.  Member organizations should plan to make the waivers available to CSSA and USASA, if requested.

5.  Additional information on USASA liability insurance coverage is here.

RELEASE OF LIABILITY FORM

Additional Player Accident Insurance Coverage

In addition to the standard insurance coverage provided to all affiliated, registered players, USASA also offers an additional coverage option to our leagues. Member leagues have the option of increasing their coverage to $25,000 Max Medical Benefit, up from the standard $5K coverage, at the cost of $3.65 per player. 

USASA Insurance Forms can be found here.

USASA Insurance information, including insurance summaries, can be found on the USASA website.

CSSA Members' Directors & Officers (D&O) Insurance