Student Accident Insurance

Insurance Company: Chubb (Federal Insurance Company)
Policy Number 9912-90-87
August 14, 2026 to August 14, 2027

Student Accident Plan Highlights             Student Accident Claim Form

Who is Insured?

This insurance Program provides coverage to all enrolled students for covered Injuries sustained while the Insured Student is:

1. Participating in activities sponsored and supervised by the school except for play and/or practice of Intercollegiate Sports;
2. Traveling during such activities as a member of a group in transportation furnished or arranged by the school; or
3. Traveling directly to or from RCC for sponsored and supervised activities.
4. On a one-day Field Trip.
5. Overnight Supervised and Sponsored Activities with a duration of 7 days or less are covered. Activities lasting more than 7 days must be specifically agreed to in writing by RCC and Chubb (Federal Insurance Company).

How Benefits are Paid – Full Excess Coverage
Benefits are paid for covered expenses that are in excess of benefits paid by any other health care plan the insured has. This accident insurance is secondary to all other insurance policies. If no other insurance exists, benefits will be payable like primary coverage.

Exclusions & Limitations:  See Student Accident Insurance Policy 

Filing a Claim: In the event of Injury, the student should:

1. Obtain a Student Accident claim form online within 30 days of the date of loss. Proof of loss must be furnished to the Insurance Company within 90 days from the date of the accident. Bills submitted after one year will not be considered for payment except in the absence of legal capacity.
2. Complete the Student Accident Claim form; attach all medical bills; attach primary carrier’s Explanation of Benefits (EOB) and mail to the Servicing Agent listed below. You must complete one claim form per Injury.

Randolph Community College Servicing Agent for Accident Claims

Questions or Assistance: RCC Student Accident Insurance is coordinated by the Office of Compliance, Contracts and Risk Management. If you have questions or need assistance, call 336-633-0210 or email riskmanagement@randolph.edu.

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