Insurance Info

ALL PLAYER ACCIDENT CLAIMS MUST BE COMPLETED ONLINE. AFTER JANUARY 14, 2024, USASA WILL NO LONGER ACCEPT PAPER CLAIMS.

A reminder that this is a supplemental accident insurance policy. For additional benefit information, please see the summary links below.

You can submit an injury claim If you are a registered USASA player and your injury occurred during a sanctioned USASA event. Players need to file their claim within one year from the date of the injury. 

When completing the claim, please make sure your contact information is correct. You will receive a couple of emails and an acknowledgment letter by mail with further instructions after your claim is approved.

The email addresses you will receive communication from are:

cdxnotify@agadministrators.com and affinity@agadm.com

Please check your spam/junk files before contacting your member association. 

Click here to fill a claim out

Click here for form instructions








Affiliations


Washington State Adult Soccer Association

2418 California St Suite A
Everett, WA 98201
(425) 485-7855
office@wssa.org
www.wssa.org

Contact Us - Washington State Adult Soccer Association


Washington State Adult Soccer Association - February 22 2024 ©