Adult Player Accident Insurance Information
Basic information can be found at :
Adult Player Insurance Information
To file a claim for an adult player:
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Fill out the USASA Claim Form (for injuries that occurred in 2019). For injuries that occured in 2020, please use the new 2020 USASA Claim Form.
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Email fully completed form for approval to Pauletta Price at the OSA OKC office at Pauletta@oksoccer.com.
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Once approved, the form will be sent off to USASA for processing. Once they have processed the claim, you will receive a letter back from USASA via regular mail. They will provide you with a claim number.
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From there, the insurance company takes over and will be your primary point of contact. More information can be found at: USASA Claim Filing Instructions
Send inquiries, bills, and all related claim items once you have submitted your online claim form, and it has been approved to:
A-G Administrators, LLC
PO Box 979
Valley Forge, PA 19482
Email: Claims@agadm.com
800.634.8628
Fax: 610.933.4122
If you have questions on insurance claims, or if you need additional assistance, contact Cassie in the OSA Tulsa office at 800-347-3590 or 918-627-2663, or you may email her at cassie@oksoccer.com.
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