1Policyholder Information2Participant Information3Quote4Payment Details Step 1: Policyholder Information Name (Parent or legal guardian)* First Last Email* PhoneAddress* Street Address City AlabamaArizonaArkansasCaliforniaDelawareFloridaGeorgiaHawaiiIndianaIowaMaineMichiganMinnesotaMississippiMissouriNebraskaNevadaNorth CarolinaNorth DakotaOhioOklahomaPennsylvaniaRhode IslandSouth CarolinaTennesseeWashington D.C.West VirginiaWisconsinWyoming State Zip Code Select Sport*Select SportBadmintonBaseballBasketballBowlingComp CheerleadingCrew/RowingCross CountryDanceDivingField HockeyFigure SkatingFootballGolfGymnasticsHockeyLacrosseMartial ArtsPoloRugbySailingSideline CheerleadingSki ClubSoccerSoftballSwimmingTennisTrack and FieldVolleyballWeight LiftingWrestlingEffective Date (Start of sanctioned activity)* MM slash DD slash YYYY Expiration Date (Last day of sanctioned activity)* MM slash DD slash YYYY Step 2: Participant Information Step 2: Participant InformationName* First Last DOB* MM slash DD slash YYYY Add ParticipantRemove Participant Step 3: Quote Shopping CartMedsaver Total $0.00 Get $5,000 of Accident Medical Coverage What happens when your child gets injured playing sports? A trip to doctor, a visit to the ER, or surgery can cost thousands. Most insurance includes a large deductible ($3,000-$8,000) that must be paid before insurance will cover medical bills. Submit medical bills on a covered claim and we will reimburse your expenses or pay the provider directly, up to $5,000. Coverage Overview Provides up to $5,000 in coverage Covers a single sport for 52 weeks Zero ($0) deductible Covers games and practices (sanctioned events) * By clicking Yes, I acknowledge that I have read and understand the Policy of Insurance, and agree to the terms and conditions of the insurance coverage provider. Insurance provided by Next Wave Insurance, LLC. limitations and exclusions will apply; click here for full disclaimer By agreeing, you authorize (Next Wave) to send your name, address, and purchase information to the Arch Capital Group Ltd. for policy fulfillment. Medsaver is offered by Next Wave Insurance Services LLC – CA License #OF00755, in partnership with Arch Insurance. Step 4: Payment Details Payment Amount $0.00 Card Number* Expiration Month*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberExpiration Year*2023202420252026202720282029203020312032203320342035203620372038CVC* Cardholder Name*
