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Youth Insurance Carrier
Pullen Insurance Services
6300 Ridglea Place, Suite 614
Fort Worth, Texas 76116
(817) 738-6100 | | Adult Insurance Carrier
K & K Insurance
1712 Magnavox Way
Fort Wayne, IN
(219) 459-5631
Contact NHSA State Office for K & K Claim form |
NHSA Insurance Forms, Outlines, and ReportsInjury Claims ProcedureThe correct procedure for processing an injury claim is as follows:
- Fill out Injury Report form and mail to the NHSA State Office with in one week after the injury occurs
Please make sure the Coach has signed the Injury Report Form before mailing it into the state office
- Contact the NHSA State Office and confirm that the injury report form has been received
Keep accurate records for all bills pertaining to this injury
- Contact the State Office and get the Insurance Claim form (see link above)
This must be filled out and mailed into the state office with copies of all the bills from your primary insurance carrier
- Contact State Office to confirm that your claim has been sent to the Insurance carrier