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Insurance Forms

In order to get the latest versions of information and claim forms, please go to the Texas State Soccer Association - South website (www.tssas.org) and access their Insurance Forms section.

All questions about insurance issues can be addressed by the TSSAS Registrar, Harmony Zajdel.

 
Insurance Claims

If you are a member of TORSO Soccer League and you were injured during league play, you can file an insurance claim through the league insurance provider, USASA / K&K.

As of September 1, 2011, USASA has changed insurance providers to K&K Insurance. Please use the claim forms located at the TSSAS (State Association) website - www.tssas.org/resources/tssas-forms.

After you download the USASA Player Insurance Claim Form, be sure to fill out all parts as indicated including Part B. TORSO is the local organization referred to in Part B. Also make sure that your manager signs the last page of the claim.

A TORSO board member must sign the document before you send it to TSSAS. Contact Mieko Rivas (registrar@torsosoccer.org) or any board member for signature. The ONLY thing the TSSAS office is responsible for is to verify that the injured player is a registered member of TSSAS/USASA and to sign the top of the first page.

After your form is signed by a TORSO representative, send your forms to:
Harmony Zajdel
234 Bright Trail
San Antonio, Texas 234 Bright Trail
Phone: 210-326-5942 | Email

Or Mieko Rivas, the registrar, can send it in for you after she signs it.