North Carolina Adult Soccer Association

As of September 1, 2011 USASA have change provider from Chartis to K&K Insurance

For questions related to how to file your claim or player registration, you may contact the NCASA office at: 336-856-0702 or email  ncaca@ncsoccer.org and ncasa2@ncsoccer.org

Instructions document on How to File a Claim, click here.
Instructions document on How to File a Claim in Spanish, click here.

To download a Claim Form, click here.
To download  a Claim in Spanish, click here.

Schedule of Benefits
Schedule of Benefits in Spanish

1) Your Player Pass is NOT an insurance card and should NOT be given to your medical provider. 

2) If you are injured during a USASA/NCASA sanctioned event, your claim CANNOT  be processed until you have CORRECTLY filed a claim and have submitted to NCASA.

3) The policy is a secondary insurance, providing reasonable reimbursement of expenses upon receipt of a claim and medical expenses.

4) All eligible expenses are subject to a $400 DEDUCTIBLE.

5) K&K does NOT provide insurance cards on Participant Accident Policy due to risk of fraud.

6) For a description of excess, or secondary plan benefits available under the Participant Accident Policy, please email NCASA at ncasa2@ncsoccer.org