USA Hockey Insurance Claims

USA Hockey provides insurance coverage for its officiating members. This coverage is secondary to your primary insurance and includes excess medical, accidental death or dismemberment, liability and catastrophic coverage. Officials should have received a complete summary of the coverage in their exam packet. You can also obtain additional insurance information on the USA Hockey Insurance and Risk Management web page.

Injury Claims

Although we would hope no one would have to use our insurance program this season, we do realize that accidents do happen and we want to make sure you are being provided the best service and care possible. For this reason, we would ask that you follow the procedure outlined below when you receive an injury during a sanctioned USA Hockey event.

  1. File with your primary insurance provider.

  2. Contact your District Referee-in-Chief as soon as possible after being treated. Be sure to obtain his mailing address. This will allow your District Referee-in-Chief to start some preparations in making sure your claim is processed in a timely manner.

Note: You must complete these first two steps before any injury claim can be processed.
  1. On the back of your Referee Card, at the bottom, is a line titled “TO FILE AN ACCIDENT CLAIM” with a telephone number. Call that number to speak with a representative of K & K Insurance. Ask the rep to e-mail you a Claim Form. Additional information can be found on the USA Hockey Insurance and Risk management web page.

  2. On the claim form, the first box gathers standard basic information.
    For Program Name, type “USA Hockey Officiating Program”,
    For INJURED select “Referee”,
    For “Confirmation Number”, type in your “Official's #” found on the face of your Referee's Card.
    In the “Team Name” field, type “n/a”.
    At the bottom of page 2, in the “REFEREE INJURIES” block, it asks for “USA Hockey District:”, type in “SE”.
    All of the other questions should be self explanatory. Don't forget the info needed on page three.

  3. All of this information can be typed in from your “Adobe Acrobat Reader”. When you have everything completed, be sure to sign the form at the bottom of page 3, then save the file. You have two options on how you can sign this:
    1) Use a Digital Signature (your computer may or may not have this capability), then e-mail the form to ric@southeastrefs.org
    or
    2) Print it out, then sign it, then mail it to the Referee-In-Chief for his signature.

More information on the Claims Reporting procedure can be found on the USA Hockey website.

Liability Claims

If anyone advises you that someone other than a registered member of USA Hockey, has an actual or potential claim arising out of an incident or an injury, or arising out of a possible dispute between USA Hockey members, you should notify your District Risk Manager and District Referee-in-Chief promptly. The District Risk Manager will notify the appropriate member(s) of USA Hockey's national office staff, and will conduct any necessary preliminary investigation.

If any member of USA Hockey, its Districts, Affiliates, leagues, teams, or any of its local associations are served with any lawsuit, civil summons, or other legal papers, they must immediately notify the District Risk Manager and District Referee-in-Chief. Failure to notify USA Hockey immediately may jeopardize the applicable legal times for a response, and could be grounds for the insurance company to deny coverage for the legal action involved.

You must be a completely registered USA Hockey official to qualify for the USA Hockey insurance benefits.