Overview
What types of Camps/Activities can be covered?
Excess Accident Medical Insurance is available for purchase by:
1) University of Kentucky sponsored Camps or Field Trips to cover campers and counselors meeting the following criteria:
- The Activity/Camp must be sponsored by the University and supervised by University personnel. Essentially, a University department must take responsibility for the organization, hosting, and (usually) funding of the activity.
- The Activity/Camp must be one of the following: summer camp, sports activity, field trip, activity involving participants under age 18, or an activity involving more risk than would typically be expected in an academic learning setting (i.e. rock climbing, snow skiing, workshops with power tools, youth livestock show).
- The Camp/Activities listed below are ineligible for coverage under this program.
- Student organization activities.
- University of Kentucky Athletic Department Camps.
- Activities held on University of Kentucky property but sponsored by an outside organization.
- Events targeting primarily adults.
2) Cabin Renters consisting of families, groups, or individuals renting a cabin at one of the below 4-H campsites and there are individuals using the archery range and/or the shooting range during their stay.
Cabin Renters are not eligible to use the online application and must use the PDF form, UKY Excess Accident Medical Application, to apply for coverage.
JM Feltner Memorial 4-H Camp
North Central 4-H Camp
Lake Cumberland 4-H Camping Center
West Kentucky 4-H Camp
Contact Information
We’re here to help! Please contact us in whatever manner is most convenient for you.
AMBA Contact Information Address
4050 114th Street
Urbandale, Iowa 50322
Phone
Hours
M-F 8a-5p CT
Campus Risk Offices Contact Information Address
University of Kentucky Risk Management
306 Peterson Service Building
Lexington, KY 40506-005
Director Risk Management
Todd Adkins
Phone
Assistant Director
Bart Miller
Phone
Frequently Asked Questions
Answers about the plan, including eligibility, options, enrollment, customer service and more.
What does this plan cover?
The annual Master Policy renewal occurs on January 1. This insurance coverage applies on an excess basis only. The participant’s personal health insurance policy will primarily cover accident and sickness claims. This excess accident medical policy will cover any out-of-pocket expense not paid by the participant’s personal health insurance up to the limits of the policy (see Coverage Benefits table below). This includes payment of the deductible and coinsurance amounts if applied under the participant’s personal health insurance policy. For accidents, the first expense must be incurred within 180 days of the accident.
If the participant does not have personal health insurance coverage, this excess accident medical insurance policy will pay first dollar, up to the limits of this policy.
This policy does not cover pre-existing conditions. A pre-existing condition is any condition for which a prudent person should have sought treatment or was treated in the previous six months.
Coverage Benefits
| Benefits | Amount/Duration |
| Accident/Medical Expense (Excess) | |
| Benefit Maximum | $50,000 |
| Benefit Period | 2 years (from the date of the covered accident) |
| Deductible | $0 (per covered accident) |
| Emergency Room | 100% |
| Outpatient X-Ray, CT Scan, MRI, Lab Tests | 100% |
| Physician Services | 100% |
| Ambulance Services | 100% |
| Prescription Drug Benefit | 100% |
| Dental Services | 100% |
| Emergency Sickness (Excess) | 100% up to $500 & 365 day benefit period |
| AD&D and Paralysis | $25,000 (principal sum) |
| Benefit Period | 1 year (from the date of the covered accident) |
*The coverage benefits described on this website are a summary of benefits only; please contact the University of Kentucky Risk Office to reference the policy for specific information on policy coverage and exclusions.
How much does the coverage cost?
| Camp/Activity Type | Cost (Per Participant) |
| Overnight 4-H Camps | $0.35 per day |
| 4-H Day Camps | $0.24 per day |
| Sports Camps | $0.52 per day |
| Miscellaneous Camps/Activities | $0.22 per day |
| Tackle Football Camp | $9.50 per week |
How do I apply for coverage and pay for a Camp/Activity?
There are two options to apply for coverage for your Camp/Activity.
Regardless of which option below is selected, once the invoice is received, the next step is to process the invoice through the University of Kentucky PRD system using vendor number 384318. University of Kentucky Procards are permitted to purchase insurance.
Option 1: Click on the “Apply Online” button anytime to complete the simple online form that will automatically provide you with a quote. An email with a paid invoice for your Camp/Activity will be sent to you automatically.
- Only credit card payment is accepted online.
- Cabin Renters are not eligible to use the online application and must use Option 2 below to apply for coverage.
Option 2: Download the “UKY Excess Accident Medical Application” from the “Download PDF Forms” menu. Complete and sign the application and email it to AMBA at plsdsteam.service@getamba.com. Once we receive your request, we will email a quote with an invoice to the applicant’s email address. The quote must be signed and returned to AMBA at plsdsteam.service@getamba.com before we can take payment and send you the paid invoice via email. Check payments are no longer accepted.
Pay with a credit card by phone at 1-866-838-9536, Monday – Friday, 8am-5pm (CT).
For Camps/Activities that are 1 week long or longer, what additional forms are required?
All Camps/Activities that are 1 week or longer in duration must have the following forms completed by a parent or legal guardian prior to participation in the camp: Medical Insurance Information, Medical Authorization, and Consent to Treatment/Insurance Statement. These forms may be downloaded from the Download Forms button on this page. Once completed, parents/guardians should submit these forms to the University of Kentucky Department responsible for the Camp/Activity.
If the participant has personal health insurance, that insurance is primary.
How is a claim reported?
Please download the “Claim Filling Instructions” and the “Accident Claim Form” from the “Download PDF Forms” menu and save them to your desktop.
Once the Accident Claim Form has been completed and authorized, mail or email the Claim Form, each related Itemized Medical Bill (and the prescription, if applicable) and the corresponding Explanation of Benefits (EOB) to the NAHGA Claims Services address below. Please include your policy number and name on all documentation and correspondence. As soon as a Dedicated Claims Examiner has been assigned to the plan, their name and number will be made available to you in the event of a question on the status of a specific claim.
NAHGA Claim Services
PO Box 189
Bridgton, ME 04009
Email: claims@nahga.com
Phone: 1-800-952-4320
Fax: 1-207-647-4569
Please remember, the policy is an Accident insurance policy. It does not provide reimbursement for illness or for injuries that are not the result of an Accident. It is subject to exclusions and limitations. The policy may also contain a deductible which may be the claimant’s responsibility. Please be aware that the claim form contains state mandated fraud warning language that requires your review and signature.