Student Accident and Trip Travel Insurance

On October 3, 2011, Student Government began paying all insurance cost for departments, student groups/organizations, and individual students participating in service learning.  Departments, student groups/organizations, and individual students can now simply request insurance coverage via an on-line form at the links below.

Student organizations or departments using the links below may purchase Accident and Trip Travel Insurance for non-LSU students, but a charge of $.10 per person per day will be billed to the organization by LSU Risk Management at the end of each semester.  Please contact LSU Risk Management for additional details.

To request Accident or Trip Travel Insurance, please click the appropriate link below and complete the on-line request form.  The request form will be automatically forwarded to the LSU Risk Management Office.  The department/organization/student submitting the form will also receive a computer generated confirmation email.  A list of participants must be kept on file with the appropriate department/organization in the event verification of participation is required in the event of an accident.

Coverage Request Forms:

• Travel Insurance for Organizational/Departmental
• Travel Insurance for Services Learning/Individual
• Accident Insurance for Campus Events
  

If you submitted a request for Student Trip Travel Insurance and you need to change the date or venue, please notify LSU Risk Management by responding to the confirmation email you received at the time of your request. 

1. Written notice of claim or Claim Report must be given to the company within twenty days of commencement of any loss covered by this policy or as soon as is reasonably possible.  Claim Report Form
2. All claim reports must be completed and signed by the camp director, chaperone, or group leader who is UNRELATED TO THE PATIENT. Report the following:

• Name of the injured/ill person (patient)
• Patient’s Date of Birth
• Date of the disability (for either an injury or an illness)
• How disability was sustained

3. Please provide:

• Complete medical diagnosis by the attending physician.
• Itemized statements for services rendered by physician or hospital.
• Prescription receipts complete with Rx number, name of prescription, and price.
• Proof of payment with an itemized bill if payment has been made.
• Payment is made directly to the medical provider unless otherwise indicated on Part 5.

4. Mail, Fax, or Scan this Claim Report directly to LSU Risk Management.  DO NOT rely on medical providers to forward this Claim Report.
   
   LSU Risk Management
   253 LSU Alumni Center
   Baton Rouge, LA 70803
   [email protected]
   Telephone: 225-578-3297
   Fax: 225-578-3577