Adult League Region 5044

Injury Claim Reporting

Please use the links below to report any Injury Claims.

Do not send claim forms directly to the state verification officer as stated in instructions. 

If you have a Primary Insurance Company:   Send the completed forms and Explanation of Benefits (EOB) to the Region for submittal to National.

If you do not have a Primary Insurance Company:  Send the completed forms to the Region for submittal to National.

Mail to:  NAASA Adult League
              P.O. Box 3945
              Visalia, CA 93278-3945

PLAYER - Insurance Instructions  (Read 1st)

PLAYER - Injury Claim Form

 

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