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Insurance is a limited health and accident insurance
for participants in "camps" or other special events
that are not associated with regularly scheduled
classes (for example, summer sports camps for youth,
field trip discovery experiences, math or science
camps, etc.) The coverage
that is provided to the participants or volunteers
is limited and should be considered secondary to any
other group insurance policy or prepayment plan in
force for the covered person. The policy
covers only initial treatment expenses that are not
covered by the participant's or volunteer's health
insurance, such as deductibles or co-payments, and
is not intended to provide full coverage.
Lewis-Clark State College departments that
facilitate a camp or day activities are encouraged
to obtain this insurance for
Campers Insurance paid for?
Coverage is arranged through
Theresa Chrisman in Administrative Services and premiums are paid from
the registration fee or program funding source.
Departments request Campers Insurance?
should contact Theresa Chrisman in Administrative Services at (208)
email@example.com at least two weeks in advance of the camp to
insurance coverage instructional letter
forms listed below.
Insurance Forms includes: the Program Insurance
Request, Completed Activity Report, and
Acknowledgement of Risk and Waiver of Liability.
Insurance Request is completed by the department
with the department information, including contact
person's name and phone number, the camp name, date
(s) of activity, estimated number of participants
(specify if including volunteers), signature of
person authorizing insurance request, department
head name and phone number, and the budget number to
be charged. After completion, form should be faxed
or e-mailed to Theresa Chrisman in Administrative
Services at (208) 792-2077 or
Completed Activity Report
is completed by the
department after the camp or activity has taken
place to inform Risk Management of the exact number
of people attending, including volunteers, budget
number to be charged and a signature to authorize
the expenditure or attach a copy of the claim
voucher to pay the premium. After completion, form
should be faxed or e-mailed to Theresa Chrisman in Administrative Services at (208)
Consent Agreement to Participate" is giving to
each participant or volunteer and must be returned
to the department conducting the activity to be kept
on file for the departments records.
Claims must be
reported to Administrative Services. The
claim form is included with
forms packet. The participants own health insurance
will be billed first for any claims.