What you need to do: When your child is injured in a school sponsored activity, you have 90 days from the date of injury to seek medical treatment. Obtain a claim form from the district and submit itemized bills to Pupil Benefits Plan in a timely manner. This plan is a secondary, non-duplicating policy. If you have medical or dental insurance that covers your child, charges must be submitted to your primary insurance first. Submit the explanation of benefits or rejection from your carrier along with itemized bills to Pupil Benefits Plan. Expenses resulting from injuries to sound and natural teeth should be submitted to your medical insurance even though dental coverage is not available. When an accidental dental injury occurs, your medical coverage will consider charges first. Please answer all questions on the claim form. Blank spaces are not acceptable. Please write legibly and remember, when submitting additional bills at a later date, include the school district, child's name, and the date of injury. What you need to know: Unfortunately, there are some exclusions and limitations under this plan. There are no benefits provided for cosmetic surgery. Please note cosmetic surgery does not include reconstructive surgery when such service is incidental to or follows surgery resulting from trauma, infection or other diseases of the involved part. There are no benefits provided for intentionally self-inflicted injuries, or injuries sustained during participation in a felony or riot. This policy does not provide coverage for sickness, pre-existing conditions, disease or orthodontia. Pupil Benefits Plan, Inc. provides student accident insurance only. Pupil Benefits Plan's student accident insurance assures prompt medical attention and assists with expenses which revert to the parent, since no school may be held legally responsible for them. If medical bills are in excess of our benefit payments, the difference is the responsibility of the parents. If you need special assistance, please call our office. We will be happy to help you in whatever way we can. About Pupil Benefits | Highlights | Coverage Features | Parent Info Risk Management | Email | Home