Print Email


Questions And Answers


What to do when a Player has an insurance claim

                  and M.E. Wilson Co., Inc., PO Box 373, Tampa, FL 33601
                  (813) 229-8021
                  FAX: (813) 229-2795

Excess Accident coverage is automatically provided to registered members of the Florida Youth Soccer Association as part of the registration fee.  The Accident policy provides coverage for registered players during sanctioned events, including regularly scheduled practices and games.  This insurance is payable in excess of any other valid and collectible Health Plan or insurance in force at the time of the accident causing injury. In other words, this coverage is excess above the player’s own family health insurance.
Policy Limits
Accident Medical/Dental Maximum
Accidental Death & Dismemberment
Deductible per claim
Physical Therapy/Chiropractic benefit
$2,000/$50 maximum limit per visit
Benefit Period
104 weeks from date of injury

The deductible will apply to each covered accident. To be eligible for coverage, medical and/or dental expenses must be incurred within the Benefit Period.

When an injury occurs, the parent or guardian must complete the Youth Soccer Accident Proof of Loss claim form, which is obtained from the secure section of Florida Youth Soccer Association's website through your club's Agent of Record, President or Registrar. The form must be signed by the Coach, the Agent of Record from your club, and your parent or legal guardian.

Please look to the following links for additional information.


The fully completed, signed claim form must be returned for processing to:

M.E. Wilson Company, Inc.
P.O. Box 373
Tampa, FL 33601 


Be sure to include any itemized doctor bills as well as all Explanation of Benefits that you receive from your primary insurance carrier.

What keeps the Insurance Company from paying your claim?
·       Incomplete or unsigned claim forms
·       "Balance forward statements" from the Healthcare providers rather than Itemized   Billings.
·       Failure to provide your insurance company’s explanation of benefits.
If you have any questions about reported claims or completing the claim form, feel free to call the FYSA Claims Department at M. E. Wilson Company, Inc. 


Underwriting Carrier: Markel Insurance Company


©2016 Florida Youth
 Soccer Association
    Fifa-logo    US Soccer    Primary_color_(vector)_web     mls-primary_color