School Insurance of Florida

Insuring Florida's kids for over 40 years.

Sunday 26th of September 2021 05:10 AM

Affordable Insurance Protection!

PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. While Google's translation service uses state-of-the-art technology, it does so without the intervention of human translators. Thus, the translations provided as part of the Service are only an approximation of the Website's original content. You should not rely on Google Translate to provide an exact translation of the Website. NOT all text may be translated correctly and some portions of the Website may not be translated at all. Some files and other items cannot be translated, including but not limited to, graphical buttons, drop down menus, graphics, and photos. In addition, some applications and/or services may not work as expected when translated. The Insurance Agency has no control over the nature, content, and availability of the Service, and cannot guarantee the accuracy, reliability, or timeliness of the translation. Neither the members of the Insurance Company, School Board, the schools or employees of the School Districts, accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. Any discreprency of Policy terms, provisions, benefits, exclusions will be settled in accordance with the Master Policy provided to the respective School District. Please click the following link if you have questions about Google Translate: http://translate.google.com/support.

Manatee County School District

How to File a Claim/Seeking Medical Treatment/Q&A

Obtain a claim reporting form from your school or download one from this website. Complete the claim form and mail to School Insurance of Florida, P. O. Box 784268, Winter Garden, FL 34778-4268. Claim forms need to filed within 90 days of an accident to be eligible for coverage.

Important Claim Filing Information:

1) This coverage is secondary, 'EXCESS' insurance, and will not pay for 100% of billed charges. Download Summary of Insurance Benefits for a listing of covered benefits.

You must file a claim with your primary family insurance first. If your son or daughter has an accident at school and you have purchased the student insurance program, please obtain a claim form from the school principal's office or the athletic office where your son or daughter attends school.
2) Part B of the claim form must be filled out by a supervising school official if the injury happened at school. The Parent is required to complete Part A and mail to School Insurance of Florida's claim office.

Please follow the instructions printed on the claim form.  DO NOT LEAVE THE CLAIM FORM AT SCHOOL OR AT THE DOCTOR'S OFFICE.

Click Here to Download a Claim Form - English

Click Here to Download a Claim Form -Spanish

3) You will need to attach copies of all itemized medical bills. If you have other primary insurance you will need to file a claim with your primary insurance carrier and include a copy of the letter or statement from your primary insurance indicating the payments provided by them or their reasons for refusal to pay benefits to you.
4) It is the Parent/Legal Guardian’s responsibility to file a claim within 90 days from the date of accident. The school is not responsible for filing claims. However, they will provide you with a claim form or you can download one from this website or contact School Insurance of Florida to obtain a claim form. Please forward the completed claim form to School Insurance of Florida no later than 90 days after the date of accident to be eligible to receive any available policy benefits. You must file a claim with any other primary insurance, even if you have a deductible. This includes HSA, HMO or PPO plans. 

WE CANNOT ACCEPT CLAIMS SUBMITTED ON-LINE because a school official’s signature and the parent/legal guardian signature are needed on the form. You only need to submit ONE completed claim form for each accident. You do not have to send another claim form if you are submitting additional bills that come in later. PLEASE DO NOT CALL THE SCHOOL ABOUT THE STATUS OF A CLAIM PAYMENT OR TO ASK QUESTIONS ABOUT COVERAGE. Contact: SCHOOL INSURANCE OF FLORIDA if you need answers to claim or coverage issues. The school does not keep records regarding claims. All claims are processed by School Insurance of Florida's claim office.When contacting School Insurance of Florida's office about a claim, please state the full name of your injured son or daughter and the SCHOOL DISTRICT where he or she attends school. We need the school name to reference the claim information for you. Generally, valid claims are processed within 7 working days after receipt of completed claim information.

WHERE TO SEEK MEDICAL TREATMENT

If a student has primary insurance they should stay in that primary insurance network even if they have a deductible. They must file a claim with any primary insurance coverage first to be eligible for the student accident insurance even if they have a deductible. If there is no primary insurance coverage, students may seek medical treatment from any licensed hospital or licensed physician and be eligible to receive the stated school policy benefits that are outlined in the enrollment application.  It is the parent or student's responsibility to ask the Doctor or provider of service what out of pocket expense they may be held accountable for paying.

Please refer to the summary of insurance for a summary listing of policy benefits, limitations and exclusions.The Insurance Company cannot regulate how much doctors or other providers of service charge. Doctors and Hospitals are allowed to establish and charge their own fee levels. Doctors and Hospitals may charge more than what the School Insurance of Florida accident insurance policy pays. The insurance benefits will be paid based upon the stated policy provisions. Please retain a Summary of Insurance for your records.

FLORIDA LAW STATES: Any person who knowingly and with intent to injure, defraud or deceive any insurance company, files a statement of claim or an enrollment form containing any false or incomplete, or misleading information is guilty of a felony of the third degree.

Click Here for Student Accident Insurance Information