Insurance Claims Process for WVBR

 

Parent/Area steps:

 

  1. Report injury that required medical attention within 24 hours to Insurance Coordinator either by phone or email.
  2. Parent must complete the follow parts of the form:
      1. PART I-DO NOT FILL IN THE VERY TOP AND VERY BOTTOM SECTIONS RELATED TO LEAGUE INFORMATION; Complete all other areas in between

     

    1. PART II- Complete this portion in its entirety.
  3. Form may be submitted NO MORE THAN 7 DAYS from the date of injury to insurance coordinator via email, fax, or other arrangements.
  4. K and K insurance will contact the parents/guardians directly with further instructions.

 

 

Medical Bills Payment:

  1. If injured party has medical insurance that insurance will be primary, if not K&K will pay as primary
  2. A 100.00 deductible will be calculated before K&K payment amount is determined.
  3. Medical bills incurred due to the injury, up to 52 weeks after the injury, will be considered for payment.

 

MEDICAL CLAIMS FORM HERE: