639CC2AE-5000-4BC2-99AD-BF66F3B290CE.pdf

PDF 668 KB Posted

Attached to
CN NE|58-1594-356
Contract number
58-1594-356
Issued by
Nebraska

About this file

Contract Summary

This document package consists of multiple proposals and acknowledgments for Accident & Health Special Risk Insurance and Self-Funding Sports Accident Medical Expense coverage for the University of Nebraska Kearney (UNK) and Omaha campuses. The primary insurance provider is Great American Insurance Company (GAIG), administered through A-G Administrators LLC located in Berwyn, Pennsylvania. The policies cover student athletes and members of university bands, dance, cheer, and mascot programs. Additional correspondence from Aon regarding travel insurance renewal is included, addressing Hawaii/Alaska and Business Travel Abroad (BTA) coverage for the university's study abroad programs.

The accident and health special risk insurance proposal, dated June 7, 2022, establishes coverage effective August 1, 2022, through August 1, 2023, with annual premiums of $30,746 for student athlete participants and $2,259 for band, dance, cheer, and mascot participants. Coverage includes accidental death and dismemberment benefits, student athlete accident medical expense with a 90-day incurral period and 104-week maximum benefit period, band members accident medical expense on an excess coverage basis, heart failure benefits, expanded sports coverage, and HMO/PPO provisions. The self-funding administrative agreement establishes a self-funding account with A-G Administrators with a minimum deductible of $25,000, an annual billing threshold of $25,000, and a $100,000 funding increment. The agreement includes a $16,000 annual claims administration fee and a 10% savings fee on net savings. For travel insurance, the Hawaii/Alaska policy maintains a $500 deposit with rates of $0.68 per person per day, while the BTA/Study Abroad policy has a $5,000 minimum deposit with rates of $1.50 per person per day, subject to potential rate increases to $1.60 in the policy year's second half.

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