Welcome to Apple Creek Sports Medicine

Minor Sport Organizations Insurance Policies

Sports Insurance Links 

2020 -2021

Baseball Ontario

https://www.baseballontario.com/Admin/SideMenu/DispSideMenuContentMain.aspx?TopMenuID=10001&menuID=516&dipIds=undefined

Program: https://www.baseballontario.com/filestore/htmleditattachedfiles/oba_insurance_renewal_program_2020-20212020-07-06t12-34-12v001_by_292.pdf

Form: https://www.baseballontario.com/filestore/htmleditattachedfiles/injury_report2016-04-27t15-47-39v001_by_292.pdf

 

Sports Accident Coverage Must Be Submitted By: “You must have required and received medical/dental treatment commencing within 30 days of the accident. Insurance providers must receive note of the accident within 30 days of the accident date and claim documentation within 90 days of the accident.”
FRACTURE INDEMNITY AMOUNT $1000
PROSTHETIC APPLIANCES – ANY ONE INJURED PERSON $3000
REHABILITATION – ANY ONE INJURED PERSON $3000

 

Ontario Basketball Association (OBA)

https://www.hubinternational.com/en-CA/programs-associations/ontario-basketball-association/

Program: https://www.hubinternational.com/-/media/HUB-International/PDF/Programs-and-Associations/Ontario-Basketball-Association/OBA-Accident-Benefits-Overview.pdf?la=en-CA&hash=CD70306466753C1C3710D471D68954E9579A6048

Form: https://www.hubinternational.com/-/media/HUB-International/PDF/Programs-and-Associations/Ontario-Basketball-Association/Accident-Claim-Form.pdf?la=en-CA&hash=D8245FBA7AEEC65D4A6CF026561C736F8214C764

 

Sports Accident Coverage Must Be Submitted By: “Your insurer must receive notice of your accident within 30 days of the accident date and receive claim documentation within 90 days.
ACCIDENT REIMBURSEMENT EXPENSE 
  • “(4) expenses charged for the services of a licensed professional physiotherapist or certified athletic sports therapist ordered or prescribed by a Physician, provided such physiotherapist or sports therapist does not ordinarily reside in the Participant’s Residence and is not an Immediate Family Member; up to fifty dollars ($50) per treatment, subject to a maximum reimbursement of five hundred dollars ($500) as the result of any one (1) Accident and one thousand dollars ($1,000) during any one (1) policy term.
  • “(5) expenses for rental of a wheelchair, an iron lung and other durable equipment for temporary therapeutic treatment, not to exceed the purchase price prevailing at the time rental became necessary, subject to a maximum of five thousand dollars ($5,000) per Accident;” 
  • “(6) expenses for the services of a licensed chiropractor ordered or prescribed by a Physician, provided such chiropractor does not ordinarily reside in the Participant’s Residence and is not an immediate Family Member; up to twenty-five dollars ($25) per treatment, subject to a maximum reimbursement of two hundred and fifty dollars ($250) as the result of any one (1) Accident and five hundred dollars ($500) during any one (1) policy term.

 

Ontario Football Alliance (OFA)

http://ontariofootball.ca/page.php?page_id=59419

Program: https://site2075.goalline.ca/files/2013_ofa_insurance_program.pdf

Form: http://ontariofootball.ca/files/standard_claim_form.pdf 

 

Sports Accident Coverage Must Be Submitted By: It says to submit immediately so ASAP after injury occurs
REHABILITATION  Up to $3000
BLANKET ACCIDENT REIMBURSEMENT  Up to $10.000

  • Rental of a wheelchair, iron lung and other durable equipment for therapeutic treatment, not to exceed the purchase price prevailing at the time rental became necessary;“
  • Expenses charged for the services of a licensed professional physiotherapist or certified athletic sports therapist ordered or prescribed by a Physician, provided such physiotherapist or sports therapist does not ordinarily reside in the Insured Person’s Residence and is not a Member of the Immediate Family, subject to a maximum of three hundred dollars ($300.00) per policy term;  
  • Miscellaneous expenses for hearing aids, crutches, splints, casts, trusses and braces, but not including replacement thereof; braces do not include dental braces and are subject to a maximum of three hundred dollars ($300.00) for each injury per policy term, and not to exceed 50% of the cost of the brace;  
  • Expenses for the services of a licensed chiropractor provided such chiropractor does not ordinarily reside in the Insured Person’s Residence and is not a Member of the Immediate Family subject to a maximum of five hundred dollars ($500.00) per policy term.  

 

Ontario Women’s Hockey Association (OWHL)

http://owha.pointstreaksites.com/view/owha/members/insurance-liability

Program: http://owha.pointstreaksites.com/files/uploaded_documents/3323/Insurance_Guide_(A).pdf

https://cdn.hockeycanada.ca/hockey-canada/Hockey-Programs/Safety/Insurance/Downloads/safety_teamwork_e.pdf

Form: http://owha.pointstreaksites.com/files/uploaded_documents/3323/OWHA_Injury_Report_Eng_OWHA_4.pdf

 

Sports Accident Coverage Must Be Submitted By: Forms must be submitted to the OWHA within 90 days of the accident. Completed forms can be emailed to insurance@owha.on.ca”
PHYSIOTHERAPY/MASSAGE THERAPY/ACUPUNCTURE TREATMENTS BENEFIT –  $15,000 
REHABILITATION BENEFIT $50,000
CONCUSSION INJURIES  Concussion injuries involve many different interventions. Hockey Canada will consider the following coverage related to a concussion which has been diagnosed by a physician

  1. Physiotherapy under the current maximum of $750.00 per year (as of September 1, 2018). 
  2. Neuropsychology, which falls under the current physiotherapy maximum per year
  3. Tutorial expenses as previously described. Note that Hockey Canada Insurance does not cover expenses for baseline testing.

 

Canadian Adult Recreational Hockey Association (CARHA) 

https://www.carhahockey.ca/cms/Insurance

Program: https://www.carhahockey.ca/UserFiles/File/Insurance%20Forms/CARHA/2019%20CARHA%20Hockey%20Membership%20Program%20for%20Players.pdf

Form: https://www.carhahockey.ca/UserFiles/File/Membership/Documents/CARHA%20Hockey%20Sport%20Accident%20Claim%20Form.pdf

 

Sports Accident Coverage Must Be Submitted By:
  • Claim forms must be signed off by a League Organizer or Team Representative; 
  • Claim forms can be submitted by fax, mail or email along with receipts; 
  • Claim forms must be submitted within 90 days of injury. Claimants may submit receipts for up to one (1) year from date of injury; 
  • Players are eligible for the coverage providing they have been seen by a doctor or dentist within 30 days from their date of injury; 
PHYSIOTHERAPY $750
CHIROPRACTIC $750
OSTEOPATHY/ACUPUNCTURE $750
MASSAGE/ATHLETIC THERAPY ($50 A SESSION)  $750
FRACTURE BENEFIT $500

 

Ontario Lacrosse

https://ontariolacrosse.com/administration/insurance-travel-documentation

Program: https://ontariolacrosse.com/content/administration/insurance-travel-documentation/insurance-handbook-2019-2020.pdf

Form: https://ontariolacrosse.com/content/administration/insurance-travel-documentation/lax_serious-injury.pdf

 

Sports Accident Coverage Must Be Submitted By:
  • Claim forms must be submitted within 90 days of injury. Claimants may submit receipts for up to one (1) year from date of injury; 
  • Must be approved by Ontario Lacrosse Association prior to being paid by insurance company 
REHABILITATION Up to $3000
PHYSIOTHERAPY Limited to 3 visits for any one accident
KNEE BRACES (ORTHOTIC OR OTHERWISE)
  • Insurer will reimburse the participant for the actual, necessary, reasonable and customary expenses incurred within 180 days from the date of the accident for such treatment or services 
FRACTURES Up to $1000

 

Ringette Ontario

https://ringetteontario.com/ora-forms/

Program: https://ringetteontario.com/wp-content/uploads/2020/02/RO_MedicalInsurance.pdf

Form: https://ringetteontario.com/wp-content/uploads/2017/05/Ringette-CanadaENG.pdf

http://ontario-ringette.com/wp-content/uploads/2016/11/M-F-13-Sport-Injury-Report-Form-2017.pdf

 

Sports Accident Coverage Must Be Submitted By:
  • within thirty (30) days from date of accident when recommended by a Physician
PHYSIOTHERAPY $500max/accident 
CHIROPRACTIC $500max/accident 
AIDS/CRUTCHES/SPLINTS/CASTS/BRACES  Max 50% – $300/year 
REHABILITATION BENEFIT  $15,000 
BONE FRACTURES (SUBJECT TO SCHEDULE) $300 

 

Ontario Soccer Association (OSA) 

https://www.ontariosoccer.net/clubs-districts-insurance

https://www.hubinternational.com/en-CA/programs-associations/ontario-soccer/

Program: https://www.hubinternational.com/-/media/HUB-International/PDF/Programs-and-Associations/Ontario-Soccer-Association/2017/OSA-Participant-ADD-Insurance-2017.pdf?la=en-CA&hash=AA5B45E5B249F6BE924C019F8E029DBABBCBB377

Form: https://www.hubinternational.com/-/media/HUB-International/PDF/Programs-and-Associations/Ontario-Soccer-Association/2017/Accidental-Medical-Claim-FORM-Ontario-Soccer.pdf?la=en-CA&hash=CB34673291786EA49E1997CFC7336B2370ECE461

 

Sports Accident Coverage Must Be Submitted By:
  • incurred in Canada; 
  • incurred within fifty-two (52) weeks of the date of the accident causing Injury; 
  • incurred only for therapeutic and not elective treatment; and 
  • which are supported by original receipts submitted to the Company as proof of claim
Physiotherapist and Athletic therapist $1,000

  • $100 Deductible 
  • Physiotherapist, Athletic therapist and Chiropractor must be licensed Ontario Practitioner’s
CHIROPRACTIC $1,000

  • $100 Deductible 
  • Physiotherapist, Athletic therapist and Chiropractor must be licensed Ontario Practitioner’s
AIDS/CRUTCHES/SPLINTS/CASTS/BRACES  $1,000

  • $100 Deductible 

 

Hockey Canada

https://www.hockeycanada.ca/en-ca/hockey-programs/safety/essentials/downloads.aspx

Program: https://cdn.hockeycanada.ca/hockey-canada/Hockey-Programs/Safety/Insurance/Downloads/not_covered_e.pdf

National Team Form: http://members.hockeycanada.ca/insurance/forms/index.asp

 

Sports Accident Coverage Must Be Submitted By: Forms must be submitted to the OWHA within 90 days of the accident. Completed forms can be emailed to insurance@owha.on.ca”
PHYSIOTHERAPY/MASSAGE THERAPY/ACUPUNCTURE TREATMENTS BENEFIT –  $15,000 
REHABILITATION BENEFIT $50,000
CONCUSSION INJURIES  Concussion injuries involve many different interventions. Hockey Canada will consider the following coverage related to a concussion which has been diagnosed by a physician

  1. Physiotherapy under the current maximum of $750.00 per year (as of September 1, 2018). 
  2. Neuropsychology, which falls under the current physiotherapy maximum per year
  3. Tutorial expenses as previously described. Note that Hockey Canada Insurance does not cover expenses for baseline testing.

 

Water Polo Canada (WPC)

https://www.waterpolo.ca/insurance.aspx#:~:text=Water%20Polo%20Canada%20%2D%20Canadian%20Water%20Polo%20Association%20Inc.&text=All%20WPC%20registrants%20are%20entitled,and%20Event%20Management%20System%2C%20GOALLINE.

Program: https://www.waterpolo.ca/admin/docs/Water%20Polo%20Canada%20Coverage%20Summary%2019-20.pdf

Form: https://waterpolo.ca/admin/docs/Chubb%20Accident%20Insurance%20Claim%20Form-BFL.PDF

 

Sports Accident Coverage Must Be Submitted By:
  • In the event of an accident our Chubb Accident Insurance Claim Form must be completed in full to process the claim. The attending physician’s and/or dentist’s statements must be completed by the medical professional who first saw the insured within 30 days of injury. The claim form must be submitted to WPC , with your PSO administrator copied, within 90 days of the date of the injury regardless of whether expenses have been incurred. All claims must be processed through the WPC office
REHABILITATION BENEFIT $15,000
FRACTURE BENEFIT $2000

 

Ontario Volleyball Association (OVA)

https://www.ontariovolleyball.org/insurance

Program: https://cdn2.sportngin.com/attachments/document/4bcd-1591861/Insurance_Summary__new_.pdf#_ga=2.101012673.1310223761.1596138245-699990426.1596138245

Form: https://cdn3.sportngin.com/attachments/document/7006-1592979/Insurance_Request_Form.pdf#_ga=2.164606847.1310223761.1596138245-699990426.1596138245

 

Sports Accident Coverage Must Be Submitted By:
  • To be reported within 30 days for reasonable medical expenses as a result of a covered accident within 52 weeks of the date of the accident 
REHABILITATION – ANY ONE INSURED PERSON Up to $3000
FRACTURE INDEMNITY AMOUNT Up to $1000