All eligible undergraduate members and associate members/pledges of the fraternity are insured for covered accidental injuries which are incurred while the policy is in force and occur while:

• In good standing with the fraternity. Membership will be verified with the (inter)national administrative office of the fraternity, so be certain your membership has been reported and all pledge, initiation, undergraduate dues, and risk management/insurance fees have been paid.
• Enrolled as a student at an institution of higher learning where there is an undergraduate chapter of the fraternity, except during appropriate holiday or summer breaks. If a covered injury occurs during a holiday or summer break, the eligible member will have had to have been an enrolled student during the prior school term and continuing at an institution of higher learning the following term.

• Complete an Accidental Injury Claim form.
• For an accidental death benefit claim, you will need to submit an Accidental Injury Claim form (above) and an Accidental Death Benefit form as well as a Certificate of Death and a copy of the investigating police report, if applicable. Additionally, you will need to submit any medical expenses related to the accident with itemized billing and the Explanation of Benefits (EOB) received from the primary health insurance carrier.
• If medical treatment and resulting expenses occur, you will need to submit itemized bills showing the name of the provider, diagnosis code for the injury sustained, and procedure codes for the treatment rendered.
• For each itemized bill, there must be a copy of the corresponding EOB from the primary health insurer showing what was paid and what is the covered person’s responsibility. If expenses are paid, submit a paid receipt, and benefits will be reimbursed directly to the insured party or guardian.