The Report of Injury needs to be electronically completed by the coach, assistant coach, or team manager, not the parent. The coach should fill out the injury form for all injuries. Many times, what does not look so bad on the field later turns out to be quite serious. Please click here for the Pullenins Accident Medical Claim form.
In order to complete the case report you must have the following information:
- Player name, address, date of birth, and player ID number
- Parent name and email
- League and Team information
- A specific description of body part injured (ie: right ankle)
- Details of what occurred to cause injury
- A case report of injury (must be completed by a league official (coach, team manager, referee, etc.) and not the parent)
Once the injury report is received, Georgia Soccer will verify and forward it to the insurance company. The coach will receive notification that the injury report has been received and approved or disapproved. If disapproved, the coach needs to make corrections and resubmit the form or contact us to update information.
The insurance claim form is then emailed to the parent to complete. It is usually sent within one (1) to three (3) business days. Sometimes the email will go to the junk/spam box. If not immediately received, please check there.
The parent then completes the claim form online. After completing the form, the parent should print and sign the claim form. Attach the completed claim form, a copy of all itemized bills, and an explanation of benefits and mail directly to Pullen Insurance. Please do not return information to Georgia Soccer.
From speaking to parents, we have received very positive information that claims are usually processed and completed with our insurance quite efficiently. If, at any time, a parent is unsatisfied with the service, they should contact Georgia Soccer immediately.
Depending on the circumstances, some exceptions are made to the above-listed procedures. If you have a parent that has particular circumstances or questions about our coverage, if there is no primary insurance coverage available, or if further assistance is needed, please contact Laura Halfpenny, Executive Director.