Insurance - Adult

Adult Soccer Insurance FAQ (Frequently Asked Questions)

What is the process for filing an SAI/PAI claim?
The process begins by completing the Adult First Report of Injury Form. The form can be downloaded below under Forms and Downloads. Once a completed form is received and verified by Cal South, the injured participant involvement will be sent to USASA-CHARTIS Claims Insurance for processing.

Is there a deadline and a limitation to filing an SAI/PAI insurance claim?
Yes, the first notice to the insurance carrier must be within 90 days of a covered accident. Excess benefits are paid after a $400.00 deductible is satisfied by the participant. Co-pays will count toward the deductible.

How do we obtain our general liability certificates of Insurance for our fields?
This is a tremendous Member Benefit provided by Cal South to our Member Leagues and teams as part of our insurance program. You can request your certificate by completing the Certificate of Insurance Request Form (See Forms and Downloads below). Complete this form and forward to Anthony Morales via fax at 714.441.0715 or email to This email address is being protected from spambots. You need JavaScript enabled to view it. 

What if the facility requesting a Certificate of Insurance will not accept the standard certificate?
Please contact Anthony Morales, Cal South Field Insurance Coordinator, for assistance at 714.451.1550 or email at This email address is being protected from spambots. You need JavaScript enabled to view it.  Please forward us any specific language or facility requirements along with your Certificate of Insurance Request Form.

Forms and Downloads

2014-2015 Seasonal Year
Cal South Adult First Report of Injury Form
Certificate of Insurance Request Form
USASA SAI/PAI Policy Summary
USASA General Liability Policy Summary

Additional Accident Medical Expense Benefit Available For purchase by Adult Leagues

USASA 10K Policy Summary - English
USASA 25k Policy Summary - English

For more information, please contact: This email address is being protected from spambots. You need JavaScript enabled to view it. 

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