K&K Insurance Group

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Chartis launches aHead of the Game to bring awareness to the prevention and treatment of concussions.
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K&K Insurance Group now offers Cyber Liability products for sports organizations.
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The accident medical claim form for each state soccer association is below. Coverage provided by the accident medical policy is extended to all registered team members, coaches, managers, referees, officials, and volunteers while participating in a sanctioned and supervised activity of the state soccer association.

Please contact K&K Insurance Group regarding any questions regarding the claims procedures or to request the status of a submitted accident medical claim.

Your Name:*
Phone Number:
Email Address:*
First Name of Injured Person:
Last Name of Injured Person:
State Soccer Association:*
Date of Injury:


Questions or Comments:*