Claims

INSURANCE CLAIMS - YOUTH PROGRAMMING

US Club Soccer provides accident medical-dental insurance coverage to its registered members participating in US Club Soccer-sanctioned and -authorized activities. To file a claim, please follow the instructions below.

  1. Submit a claim form.

    Please access https://portal.acitpa.com/usclubsoccer/, create an account or sign into an existing account, then follow the instructions shown once you are logged in. Please be specific when describing injury and incident, our provider will need to know whether it is the right of left side appendage and the specific scenario of how the injury occurred. Providing all details will help avoid unnecessary claim processing delays.

  1. Internal US Club Soccer verification. After you submit this form, US Club Soccer will review claim eligibility and verify the accident with the claimant’s club/member organization.

  2. Post-verification claim status update. You will receive an email with the claim status when the verification is complete. If approved, the claim will be processed by either A-G Administrators (for accidents occurring through July 31, 2023) or ACI (for accidents occurring on or after Aug 1, 2023).

  3. Communication and instructions from the claims processor. You will then receive communication from A-G Administrators or ACI with instructions for you/your providers to submit documentation (bills, EOBs, etc.) directly to the claims processor.
  • Treatment(s) must be medically necessary.

  • Excess coverage: Applicable expenses are covered under this policy on an excess basis. Please read the information on the Accident Medical-Dental Insurance Claim Form (Youth) for more details.

  • Claim eligibility timing: For claims to be eligible for coverage, the claim form must be submitted no later than 365 days after the date of injury, and medical attention must be received no later than 90 days after the date of injury.

  • Benefit period: This policy is subject to a 52-week benefit period from date of injury. Medical or dental expenses that are incurred within 52 weeks of the date of injury are eligible for coverage under this policy. Any expenses or treatments that are rendered after the 52-week benefit period will not be covered by this policy.
  • Prior to submission or US Club Soccer approval of your claim, please contact insurance@usclubsoccer.org.

  • After US Club Soccer approval of a youth membership claim for an injury that occurred on or before July 31, 2023, contact A-G Administrators at claims@agadm.com or (610) 933-0800.

  • After US Club Soccer approval of a youth membership claim for an injury that occurred on or after Aug 1, 2023, contact ACI at claims@acitpa.com or (888) 293-9229.

INSURANCE CLAIMS - ADULT PROGRAMMING

Accident medical-dental insurance coverage for US Club Soccer’s adult programming (U-21 and above) is provided by the United States Adult Soccer Association (USASA). For more information, visit the USASA insurance web page.

A new online claims process is now in effect for adult programming claims. For more information and instructions, please visit the USASA insurance web page.