The University of California has created an insurance program to cover Recognized Sports Clubs for most on and off campus events. Events covered by the policy are paid for by the University. However, Recognized Sports Clubs are responsible for making sure their event is covered and may need to complete a registration form to request certificates of insurance for off campus venues. Additionally, once at the beginning of each season, it is required to obtain signed waivers from all sports team participants.
As you plan your event, it's essential that you make certain you have the appropriate insurance coverage. Don't put it off; take care of the insurance now!
The Philadelphia Indemnity Insurance policy will provide $2,000,000 coverage for the following participants:
*Third party contractors involved should provide their own insurance coverage
If you are scheduling an excluded event, please contact the Mercer Customer Service Center at 866-838-9536 between 6:00 am and 3:00 pm Pacific Time. Your request will be submitted for potential placement of coverage.
All requests for Certificates of Insurance must be directed to the Mercer Service Team. Contact information provided below:
Service Phone Number: 1-866-838-9536
Service Fax Number: 515-365-3005
Please print and complete the following registration form to be submitted to the Mercer Service Team.
Form more information view the University of California Accident Medical policy.
If your sports club has been recognized and approved by the University Rec Sports Department as a new club or if you need to remove an inactive club from the policy, please complete the Rec Sports Club Insurance Program Add/Delete Form provided here and email it to Mercer Consumer CampusConnexions at firstname.lastname@example.org .
If you have any questions, please call us Monday - Friday, 8am-5pm CT at 866-838-9536.
Sports Club Add/Delete Form
When reporting a notice of loss (injury, property damage to third parties, auto accidents, etc.; related to a registered event), please provide as much detail as possible. This should include, but not be limited to, Insured Name (The Regents of the University of California plus student organization/club name), Contact Name (student organization/club), Policy Number, Claimant Name, Claimant Contact Information, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) and Description of Damage and Estimated Amount of Loss.
The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.
For information on how to report a University of California Accident Medical claim, view the instructions below for the ACE Process. You must report the accident to ACE prior to reporting to Philadelphia.
When reporting a notice of an injury to a member and/or participant, please provide as much detail as possible about the circumstances of how the injury occurred. The information you gather will be needed on the claim form, see below, and the servicing representative will obtain further information when needed. Details should include, but not be limited to, Insured Name (UC Campus and full name of the student organization/club), student organization/club Contact Name, Policy Number (provided on form), Injured Member/Participant Name, Date of Loss, Description of the Injury, Description of the Event where the Injury Occurred, Physical Location where Injury Occurred, Cause of Injury, Your Reference Number (if applicable), Initial Steps Taken to assist the injured participant, any medical reports or invoices received from or on behalf of the injured participant.
The claims customer service department will immediately process your report and you and the injured participant will be contacted by your servicing representative.