MHYSA

Insurance Claim Checklist

1. Claimant must be registered at time the injury took place
2. Claimant's injury must have taken place on an insured field location
3. Report of the injury must be received by MHYSA Commisioner either by phone or email within 48 hours.
4. Report of the injury must be received by the State Office either by phone or email within 7 days
5. Claim form must be submitted and received by MSYSA State Office no later than 30 days from date of injury
6. $500 deductible applies for all eligible claims
7. Include a copy of Permission to Travel approval (if injury took place outside Michigan)

For insurance claims, contact Mike Mandarino

• MSYSA Insurance Claim for Injuries