Horsell Insurance

New South Wales Squash Limited Sports Injury Insurance Program
Cover is provided for injuries sustained whilst involved in officially organised games, official training sessions and official functions. Cover also applies whilst travelling to and from official games, training and functions. Cover applies to all trialling participants, registered participants, coaches, referees and volunteers. http://www.horsell.com

For full policy please go to http://www.horsell.com/SquashNSW/default.asp

Claim Forms

NSW Squash Insurance Summary (PDF 115kb)
NSW Squash Personal Accident Claim Form (PDF 92kb)

The benefits are summarised as follows:

MEDICAL EXPENSES:

Pays 100% of any Non-Medicare medical expenses up to a maximum of $2,000 any one injury. Claimable expenses include physiotherapy, private hospital, ambulance, dental etc, net of any Recoveries from private health insurance.
An excess of $50 applies to each injury.
NOTE: The gap between a doctor’s account and the Medicare rebate is not covered. This also applies to Surgeons, anaesthetists and x-rays. Non Medicare Medical costs are only reimbursed by this policy if incurred 52 weeks from the date of the injury.

LOSS OF INCOME:

Cover for 80% of your net weekly income or up to a maximum of $200 per week, whichever is the lesser.
Benefit Period: 52 weeks
Excess: 14 days

DEATH & PERMANENT DISABILITY

A lump sum benefit is payable in the event of a death or a Permanent Disability. The scale of benefits is defined in the policy. The maximum benefit is $100,000
(Other than anyone under 18 years $20,000 maximum)

STUDENT ASSISTANCE BENEFIT

Reimburses up to a maximum of $50 per day for 60 days for any one claim of the actual cost of home tutorial by a qualified tutor which has been certified as necessary for the duration of total disablement by a registered and legally qualified medical practitioner up to the policy limits
Excess: 14 days

OUT OF POCKET EXPENSES

Pays 100% of the actual costs of out of pocket expenses of an insured person up to a maximum of $2,000. An excess of $50 applies to each injury.

HOUSEHOLD HELP ALLOWANCE

Pays non-wage earners up to 80% of costs or a maximum of $300 per week for 52 weeks for any one claim being for reimbursement of actual costs of domestic help certified as necessary for the duration of total disablement by a registered and legally qualified medical practitioner up to the policy limits.
Excess: 14 days

PARENTS INCONVENIENCE ALLOWANCE

Pays 80% of parent’s actual costs to a maximum of $300 per week in total any one claim for 52 weeks whilst their child is hospitalised to off set costs incurred for baby sitting, taxi fares etc.
Excess: 14 days

HOW DO I MAKE A CLAIM?

• Report an injury immediately to the manager at your club or centre. This must be done on the day the injury occurred or the claim could be denied.
• Obtain a claim form from your club or centre manager. Alternatively, please download a claim form from our broker’s website www.horsell.com This form must be completed, then given to your centre for authorisation and dispatch.
• Should you have any questions on how to make a claim please contact our insurance brokers:

Horsell International Pty Ltd PO Box N661 Grosvenor Place Sydney NSW 1220.
PH: (02) 9247 1700 or 1300 722 990 (24hr Toll Free outside Sydney Metro Area)
FAX: (02) 9247 1733
EMAIL: sports@horsell.com
ABN: 65 003 922 487
AFS LIC No.: 235130
This insurance is underwritten by ACE Insurance Limited