Austin Community College District has obtained a Secondary (Excess) Student Accident Insurance policy in the event that a student is injured during a covered event and requires outside medical treatment. An Injury Claim form must be submitted, on behalf of the student, to Mutual of Omaha, the Insurance Carrier.
Please be advised that this coverage is excess (secondary in most situations) to all other valid and collectable insurance plans. Each student should initially provide their primary health insurance information to each medical provider at the time of treatment, as well as the Secondary (Excess) Student Accident insurance information. This policy is designed to cover any remaining balances of expenses related to a covered injury/accident that are not covered by the student’s primary insurance (including co-pays, deductibles, coinsurance, etc.) and left to patient responsibility.
Step I: Required Documents for Medical Care, Prescriptions, and Insurance Coverage
To ensure that claims are covered under the Secondary (Excess) Student Accident Insurance, students are asked to give the billing information to each medical provider before every medical treatment and/or service for a covered injury. Please present the Identification Card below. Should a student receive a patient balance due statement from the provider, the student should call the provider and be sure they have Mutual of Omaha’s billing information as secondary.
Your medical provider will need to be shown your Accident Insurance Claim email for Verification of Enrollment for your Student Accident Insurance claim.
- Use the following tool to help find an in-network provider, or see your own primary care provider if available: https://www.pswca.org/find-a-provider.html
Step II: Insurance Claim Process
An ACC employee will submit a Student Accident Insurance claim form on your behalf shortly after the accident. Keep an eye on your student inbox for an email titled Student Accident Insurance Claim – [Your Name] from accriskmgmt@austincc.edu. This email will also be sent to specialrisk.claims@mutualofomaha.com, the company ACC works with for Student Accident Claims.
To start a Student Accident Insurance claim, download and fill out a copy of the Student Accident Insurance packet and ‘reply-all’ to the Student Accident Insurance Claim email.
Mutual of Omaha will then have the necessary information to begin the claim. You are responsible for keeping in contact with your insurance adjuster during this process and providing them with the information they request. ACC Risk Management’s role in the Student Accident Claims process is completed once the Accident Insurance Claim email is sent.
If you do not wish to start a Student Accident Insurance claim, please reply to the Student Accident Insurance claim email with the following:
“I, <Your Full Name>, the injured student, choose not to file a Student Accident Insurance Claim for the injury reported at this time. I understand that this decision will halt all further claim processing. If I decide I want to file a claim in the future, I must complete all necessary requirements listed above to file a Student Accident Insurance Claim.” Please attach a copy of your ACC Student ID Badge to serve as your signature.
Contact Us
Office of Risk Management & Insurance
Risk & Fleet Management Help Form
Risk Management: risk@austincc.edu