NHSA Insurance
Youth Insurance Carrier
Pullen Insurance Services
6300 Ridglea Place, Suite 614
Fort Worth, Texas 76116
(817) 738-6100
  Adult Insurance Carrier
AIG Domestic Claims
Attn: USASA Claims Unit
A&H Claim Department
PO Box 25987
Shawnee Misson, Ks 66225

Contact NHSA State Office for AIG Claim form: [email protected]

NHSA Insurance COI (Certificate of Insurnace) for use of field space

In order to receive a COI for your club or team you need to contact the NHSA State Office by e-mail
listing the name, address, town or city, that you need it for.  [email protected]

NHSA Insurance Forms, Outlines, and Reports

    Injury Claims Procedure

    The correct procedure for processing an injury claim is as follows:

    Fill out Injury Report form and mail to the NHSA State Office with in one week after the injury occurs

  1. Please make sure the Coach has signed the Injury Report Form before mailing it into the state office

  2. Contact the NHSA State Office and confirm that the injury report form has been received

  3. Keep accurate records for all bills pertaining to this injury

  4. Contact the State Office and get the Insurance Claim form (see link above)

  5. This must be filled out and mailed into the state office with copies of all the bills from your primary insurance carrier

  6. Contact State Office to confirm that your claim has been sent to the Insurance carrier

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