MEMBER ACCIDENT PROTECTION PROGRAM (MAPP)

Important Notes:

• The Member Accident Protection Program is NOT a substitute for Health insurance. It provides NO protection for sickness or illness. Every member of the fraternity must be certain that they obtain health Insurance coverage from their parents or other source.
• Coverage applies to students enrolled at universities/college within the United States only. Coverage will not apply in Canadian provinces.
• The policy requires reporting a covered accidental injury within 180 days of the original injury. A delay in reporting can cause your claim to be denied or have your benefit payments delayed.

When you call to report a claim, you will need to reference that you are reporting this claim as a member of the fraternity program and provide the

name of the fraternity and the university/college at which you are a member.

2.  For an accidental death benefit claim, you need to submit an accidental injury claim form (above) and an accidental death benefit claim form (below) as well as a Certificate of Death and a copy of the investigating police report, if applicable. Additionally, you will need to submit any medical expenses related to the accident with itemized billing and the Explanation of Benefits (EOB) received from the primary health insurance carrier. The link below will allow you to download the necessary death benefit claim form.

3. If medical treatment and resulting expenses occur, you will need to submit Itemized bills showing the name of the provider, diagnosis code for the injury sustained and procedure codes for the treatment render.

4. For each itemized bill, a copy of the corresponding Explanation of Benefits (EOB) from the primary health insurer showing what was paid and what is the covered person’s responsibility. If expenses are paid, submit a paid receipt and benefits will be reimbursed directly to the insured party or guardian.