If you are a current US Lacrosse member who is injured during a covered lacrosse activity, you may obtain a claim form and instructions on filing the claim by clicking here: Lacrosse Accident Claim Form.
If you are a non-member who was injured while participating in an insured US Lacrosse tournament, camp or clinic, please contact RPS Bollinger at 800-446-5311, press "5" for Lacrosse. The Bollinger Lacrosse Administrator will verify that the event you participated in was insured and will then provide you with an accident claim form to complete.
Claim Guidelines: You have 90 days from the date of injury to submit a claim form. For claims to be eligible for coverage you must seek medical attention within 60 days from date of injury.
Benefit Period for Basic Accident and Catastrophic Accident Plans: The Basic Accident policy pays benefits for expenses incurred within 2 years from the date of injury. Medical or dental expenses that are incurred within 2 years of the date of injury are eligible for coverage under this policy.
In the event of serious or catastrophic injury, a claim that exceeds $100,000 in expenses paid through the Basic Accident policy (within the 2 year benefit period) will trigger coverage under the Catastrophic Accident policy. Once the claim exceeds $100,000 within 104 weeks of the date of injury, coverage then continues under the Catastrophic Accident plan. The Catastrophic Accident policy pays expenses that are incurred within 10 years of the date of injury or until the policy limits are exhausted, whichever comes first.
Insurance and Claims Administrator
All accident claims are handled and paid by RPS Bollinger, the insurance administrator for US Lacrosse.
You may contact RPS Bollinger at:
General Phone: 1-800-446-5311, press "5" for Lacrosse
Please note that you will be leaving the US Lacrosse web site to access some of the insurance services offered by RPS Bollinger.