Las Niñas Fastpitch Baja Softball League: Las Niñas Handouts

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A parent/guardian of each player MUST turn this into their team manager by next Wednesday, March 9th. Thanks!

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The 2011 Policies and Procedures document has been posted. The Baja Executive board has not approved the 2012 document yet. There will not be major changes but as soon as its available this will be updated.

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1) Fill out the claim form completely. IF the player is uninsured, if her parents are employed, they will need a letter of verification of employment with no medical benefits from their employer. That will need to be included with the claim or it will not be processed. They do not need to wait for the bills to be received to file the claim.

2) Once done completing the forms, return them to our Safety Director - Jackie Pereda (#256-2665 or lasninasfastpitch@hotmail.com). The Safety Director will sign off of it and send it to the commissioner who is responsible for submitting it to Bollinger.

3) Once the claim is submitted to Bollinger, it takes about 48 hours for it to be processed and the player to be covered by the insurance. Bollinger will mail out a letter of coverage. At that point, the players parents will need to call any facility who treated their daughter and provide them with the Bollinger Insurance information to have bills submitted directly to Bollinger. If coverage is not established before the facility sends a bill to the parents, the parents will have to submit the bills to Bollinger directly after coverage is established.

4) Deductable: There is a $250 deductable that is the responsibility of the parent. The deductable is applied to the first bill received by Bollinger. This means Bollinger will pay the bill less the $250 deductable that the parents are responsible for.

5) Prescriptions: Once the player is covered the pharmacy can bill Bollinger directly. I understand with the delay that their will be prescriptions needed prior to being covered by Bollinger. They will need to be paid out of pocket and keep the receipts to submit to Bollinger after coverage is established for reimbursement.

Bollinger Medical and Dental Claim Form

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