Documents below should be used when submitting a claim to A-G Specialty Insurance. All forms below are available in .pdf format.
A-G Specialty Insurance is Now the Claims Administrator for the NCAA PEI Learn More
A-G Specialty Insurance is Now the Claims Administrator for the NCAA PEI Learn More
At A-G Specialty Insurance, we strive to make the claim and quoting process for our clients and partners as smooth as possible with our document library. If you have questions or cannot find the form you are looking for, call us.
Documents below should be used when submitting a claim to A-G Specialty Insurance. All forms below are available in .pdf format.
This form should be used for all College / University level claims.
Claim form for k-12
Youth risk claim form
Download Spanish form
Download Spanish form
Download Spanish form
Special risk claim form
Documents below should be used when submitting a quote request to A-G Specialty Insurance. All forms below are available in .pdf format.
This form should be used for all Amateur Sports coverage quote requests.
This form should be used for all Sports Camp or Clinic coverage quote requests.
This form should be used for all Collegiate / Club / Intermural coverage quote requests.
This form should be used for all Participant Accident coverage quote requests.
This form should be used for all International Travel Athletic Accident and Sickness Insurance quote requests.
This form should be used for all K-12 Student Accident & Athletic coverage quote requests.
Click below to request a quote online for your school or organization.
A comprehensive overview of A-G’s K-12 Student & Athletic Accident Insurance plans and services.
An overview of A-Gs Athletic Department Travel Insurance programs and services.
For Indiana Residents Who Purchased an Accident and Sickness Product and those covered by a Blanket Accident and Sickness Policy issued in Indiana: You may at any time ask Us or Our Administrator for an estimate of the amount We will pay for or reimburse to you for nonemergency health care services that have been ordered for you. You may also ask Us or Our Administrator for the applicable benefit limitations that apply to the ordered nonemergency health care services you are entitled to receive under your coverage. The law requires that an estimate be provided to you within five (5) business days.
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