
Sports Medicine
Injury Report
The Sports
Medicine Center at the Lexington Clinic has partnered with Lexington Catholic High School for over 15
years to provide athletic trainers, physical therapy, and doctors to the
student-athletes at Lexington Catholic.
All injuries need
to be reported to the athletic trainer assigned to your specific program and
your head coach.
The insurance that
all student-athletes purchase is a secondary coverage. It pays whatever is not covered by
the student-athlete’s family’s primary insurance provider. This secondary coverage is purchased
through Bob Roberts Insurance of Richmond, KY, and K & K Insurance of
Fort Wayne, IN, and the policy is from Hartford Life Insurance Co.
To file a claim,
you must receive a form from the athletic trainer or the athletic
director. Items needed for the
claim form are as follows:
1. The claim form must be completed in its entirety and signed by
both the parents and a school official.
2. The date of the accident and a detailed description are required
to verify that the incident was school-related.
3. The claim form should be submitted to K & K Insurance within
60 days of the accident. This
coverage has a benefit period of two years from the date of the accident.
4. In addition to the claim form, the company will also require the
following in order to make payment:
a) Itemized physician, hospital, or other provider bill that
includes the diagnostic and procedure codes
b) Explanation of Benefits from primary carrier
For questions
regarding claims:
K & K
Insurance: 1-800-237-2917 Ernestine Fincher at ext. 5183 or
Lori Helton at ext. 5192
Bob Roberts
Insurance: 1-877-757-2581 and
ask for Bobbi Land

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