Student accident insurance coverage is available to
University of Alaska students through the System
Office of Risk Services. The specific criteria that must
be met in order for the University to make available
student accident insurance is that the event/program be:
√ University scheduled;
√ University sponsored; and
√ University Supervised (by UA staff).
It is important to note that the student accident
insurance covers injuries, NOT personal health or
sickness. In addition, this coverage is excess to other
insurance policies available to the student. In other
words, the insurance picks up expenses after other
coverages an injured student may qualify for, under the
student’s personal insurance policy, spouse’s insurance,
or parent’s insurance have been exhausted.
WHAT IS COVERED
If an insured suffers an injury that, within 90 days of
the date of the accident that caused the injury, requires
treatment by a Physician, the carrier will pay the usual
and customary charges incurred for medically necessary
covered accident medical services received due to that
injury, up to the maximum amount per insured for all
injuries caused by the same accident. This benefit is
payable only for such charges incurred within 52 weeks
after the date of the accident causing that injury.
Covered Accident Medical Service(s):
•Hospital semi-private room and board (or room and
board in an intensive care unit); Hospital ancillary
services (including, but not limited to, use of the
operating room or emergency room); or use of an
Ambulatory Medical Center;
•services of a Physician or a registered nurse;
•ambulance service to or from a Hospital;
•laboratory tests;
•radiological procedures;
•anesthetics and the administration of anesthetics;
•blood, blood products, artificial blood products, and
the transfusion thereof;
•physical therapy and occupational therapy;
•rental of Durable Medical equipment;
•artificial limbs, artificial eyes or other prosthetic
appliances; or
•medicines or drugs administered by a Physician or
that can be obtained only with a Physician’s written
prescription.
This coverage can be purchased for hazardous trips for
an additional $2.50 per student, (see Class VII). This
coverage is highly recommended for trips to remote
sites where the appropriate medical treatment is not
available. Emergency Evacuation and Repatriation
coverage is automatically included in Class IV, Foreign
trips.
Emergency Evacuation -The carrier will pay for
covered emergency evacuation expenses reasonably
incurred, while participating in a covered activity, if the
Physician ordering the emergency evacuation certifies
that the severity of the Insured’s injury or emergency
sickness warrants emergency evacuation. All transpor-
tation arrangements made for the emergency evacuation
must be by the most direct and economical conveyance
and route possible (See AIG Assist).
Repatriation - If an insured suffers loss of life due to
an injury or emergency sickness while participating in a
covered activitiy, the carrier will pay for covered
expenses reasonably incurred to return the body to its
current place of primary residence. (See AIG Assist).
AIG Assist - Assistance Services must make all
arrangements and must authorize all expenses in
advance for this benefit to be payable. If it was not
reasonably possible to contact AIG Assist in advance,
the carrier reserves the right to determine whether the
benefit will be payable.
HOW TO APPLY
To request coverage, please fully complete a Student
Accident Insurance Application form and forward it to
the System Office of Risk Services, in Fairbanks.
Coverage IS NOT in effect until the application and
payment are received by the System Office of Risk
Services. The form MUST be completed and received
PRIOR to the date for which coverage is requested to
go into effect.
PREMIUMS
Premiums
for the student accident insurance are
based on the type of activity in which the student is
participating. If you have any questions regarding how
to correctly classify your activity, please call the
System Office of Risk Services, (907) 450-8157. The
insurance carrier may not extend coverage if a class
activity is under classified.
UNIVERSITY OF ALASKA
STUDENT ACCIDENT INSURANCE
AIG SRG 804 07 22
1-800-551-0824
ASSISTANCE SERVICES CONTACT:
In the U.S. 1-800-626-2427.
Outside the U.S. 0-713-267-2525 collect.
Accident Medical Coverage
Coverage Limits are:
Type of Coverage: Excess Other Existing Insurance
Medical: $50,000 Max. Limit
Dental $250 per Sound Natural Tooth
$500 Max. Limit
Deductible: None
STUDENT ACCIDENT INSURANCE
General Information
Emergency Evacuation & Repatriation
Clip and keep on hand, the following information:
Coverage Limits are:
Emergency Evac. $50,000 Max. Limit
Repatriation $10,000 Max. Limit
Notice of a claim must be given to the insurance
carrier within 20 days of an accident. Please
contact the System Office of Risk Services for a
Claim Form should an accident occur.
If you have any questions regarding the coverage,
please call (907) 450-8157.
NOTICE OF CLAIM
