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Directions for Completing The Church Youth Group Medical Trip/Event Plans
Directions for Completing The Church Youth Group Medical Trip/Event Plans

Special Events coverage for Camp and retreat events over 72 hours off your premises is a practical insurance plan providing peace of mind. If this plan does not meet your specific need, please contact us; there are many more plans to choose from.

Church youth groups may apply for annual coverage under the church youth group plan and get coverage for the year or for individual events. For some this might meet their need better than the camp & retreat plan. Please remember each event requires its own application if applying for short term coverage.

Individual names are not required because 100% of all eligible persons must be insured. Each person is protected as well as the group itself.

What are the Covered Activities?

Special event activites sponsored and directly supervised by the plan sponsor.

Who is Covered?

Eligible persons include either: Participants only, or Participants and staff.

What are the Benefits?

Accidental Death and Specific Loss; benefits are determined by class. Accident Medical Expense; benefits are determined by class. Sickness Medical Expense (generally trip or tour programs only).

To apply for camp and retreat coverage:
   A downloadable application is provided in PDF form for
   download. If for some reason this does not work for
   you, or your event is of another nature, please contact
   us for assistance. Coverage is provided for
   organizations with their home location in the states
   of MI, OH, IN, IL, KY, and WI.
Tips for completing the application:
1. Complete the name and address of your organization.

2. Determine if a one time event coverage is desired or
   if you want coverage for more than one
   event throughout the year. This choice is found with 
   question 2; check termination date(short term) for a
   one time event. Check first renewal date (for a year
   policy). Please complete the beginning and end date
   desired.

3. Note the covered activities to be sure this is the
   correct one for your events.

4. Determine the Benefit provision desired.

5. Premium rate by class choices. Determine if the
   desired coverage is to provide Primary or Excess
   coverage. Check appropriate box for choice.
   Determine eligible persons, whether it is only day or overnight,
   and check the appropriate box.

6. Determine if this coverage is for Participants only
   or is to include staff. Check the appropriate box.

7. Check appropriate box (if this is an annual policy, an
   audit will follow for you to complete and return with
   your renewal. Any adjusted premium will be billed
   directly to your mailing address. Please sign and
   complete the rest of 7.)

8. For an event policy that is not providing coverage
   for the year, please complete the short term audit;
   then sign, date, etc. 
 
9. Please make checks payable to Nationwide Insurance
   Company and return your
   completed application to us:
   Phelps Financial Services, Inc.
   659 Park Meadow Rd.,Suite H
   Westerville, Ohio 43081
10.Please note policy minimum amounts: $175 for excess and 
   $225 for primary coverage.
Last updated on Wed, 06/16/2004 - 21:03.
Site last updated 03/20/2024