20 October 2004
NSCC ACTION LETTER 06-04
1. Purpose. To announce revised
procedures for submission of Nationwide
accident/sickness insurance claim form.
2. Background. Reference (a) provides the basic
information and background on submission of subject claim form. Nationwide
Insurance has changed the way they desire a member of the NSCC/NLCC to
submit a claim.
3. Discussion. Reference (a) requested an
accident/sickness report be submitted to NHQ at the time an injury or
sickness occurred. The parents/guardians/members were advised to submit
the claim form directly to Nationwide for processing claims. This
procedure is modified as indicated below to meet the needs of the
insurance company to verify the membership of the claimant in the
NSCC/NLCC program.
- Commanding Officers of units or Commanding
Officers of Training Contingent (COTCs) will submit a detailed NSCC
accident report (NSCADM 022)
of the incident to NHQ. This includes all accident/sickness, which
occur in unit activities or training evolutions, regardless of how
minor. Many incidents are not reported because of trying to 'second
guess' whether it was sufficient enough for the members to receive
professional care. Many incidents, which at first don't appear to
warrant a report, often do because a claim ends up being filed later
if the injury or sickness worsens.
- NHQ will complete its portion of the claim form and forward to the
parent/guardian/member whether they file a Nationwide claim or not.
- The parent, guardian or member will then fill out their portion of
the Nationwide claim form and forward to the company. The NSCC policy
number is on the Nationwide claim form provided to the guardians.
- Because of health privacy information, once the
parent/guardian/member submits the claim to Nationwide, NSCC NHQ will
no longer be able to be involved in the process. Federal law does not
allow NHQ to be involved in medical information concerning members of
the NSCC once a claim is submitted
4. Action. Unit commanding officers or COTCs shall:
- Advise parents/guardians/members that NHQ will forward the
Nationwide claim form to them direct.
- Insure all accident/sickness reports are submitted to NHQ as soon as
possible
5. Cancellation. This action letter shall remain in
effect until incorporated into the appropriate manuals.
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