Cleveland State Community College provides secondary athletic accident insurance for the benefit of our student-athletes. This coverage is provided by Mutual of Omaha and is offered on an “excess” basis only. Under the terms of the policy, this coverage is considered to be excess to all other valid and collectible medical insurance policies. With the College policy, there will be a $2000.00 deductible per athlete, per injury. All claims must be filed with the student-athlete’s primary insurance company prior to being submitted through the College’s insurance. All student-athletes must have primary coverage that will include coverage for athletic related injuries. If a student does not have primary coverage the College’s insurance will cover the injury once the $2,000.00 has been met by the athlete.
In the event that your son/daughter is injured while participating in a covered sport, it is important for us to know about any medical coverage you may have to avoid delays in claim processing. It should be noted the person responsible for the primary insurance plan is also responsible to insure the claim is filed properly with your insurance company. Be aware that claim filing does take a considerable amount of time, especially those with more than one insurance plan, so please be patient until the claim is completed. After the bill is filed with your insurance, if you still receive a bill for the excess, please mail the bill, copy of your explanation of benefits and an itemized copy of the bill to the College to:Mike Policastro Director of Athletics Cleveland State Community College P.O. Box 3570 Cleveland, TN 37320-3570
If you have any questions concerning the billing process and/or health related questions, please feel free to contact Mike Policastro, Director of Athletics at (423) 478-6219.2019-2020 Athlete Physical Examination Form 2019-2020 Parent Authorization Form