US Club Soccer provides accident medical-dental insurance coverage to its registered members participating in US Club Soccer-sanctioned and -authorized activities. To file a claim, please follow the instructions below.
For claims regarding incidents that accured through the 2022-23 season (ending July 31, 2023): The claimant, or a parent/guardian if the injured person is a minor, is to complete the applicable section of the US Club Soccer Accident Medical-Dental Insurance Claim Form (Youth) (English / Español) and email it to email@example.com. Please do not send bills, Explanations of Benefits (EOBs), or other information to US Club Soccer.
For claims regarding incidents that occurred as part of the 2023-24 season (June 1, 2023 – July 31, 2024): A new online claim submission process is available. Please access https://portal.acitpa.com/usclubsoccer/, create an account or sign into an existing account, then follow the instructions shown once you are logged in. Please be specific when describing injury and incident, our provider will need to know whether it is the right of left side appendage and the specific scenario of how the injury occurred. Providing all details will help avoid unnecessary claim processing delays.
Accident medical-dental insurance coverage for US Club Soccer’s adult programming (U-21 and above) is provided by the United States Adult Soccer Association (USASA). For more information, visit the USASA insurance web page.
A new online claims process is now in effect for adult programming claims. For more information and instructions, please visit the USASA insurance web page.