File an Insurance Claim

Sports Accident Claims

AGF Members looking to be reimbursed for medical expenses not covered by their primary insurance provider must take the following actions:

  1. Complete an Incident Report Form
     
  2. Provide the injured individual with the following accident claims forms to be completed:
    Consent Form
    Accidental Medical Form OR Accidental Dental Form
    The front page is to be completed by the Injured Party and the second page is to be completed by the Attending Physician
     
  3. Submit all receipts with descriptions along with the Incident Report Form, Consent Form, and Accidental Medical/Accidental Dental Form directly to AGF's insurance provider:
     
    Brent Brandham
    Email: brent_brandham@ajg.com 
    Phone: 416.408.5457

    Arthur J. Gallagher Canada Limited
    145 Wellington St W, Suite 1200 
    Toronto, ON 
    M5G 1H8
    www.ajgcanada.com  

Ambulance Reimbursement Process

An additional service that AGF provides for its registered members is reimbursement to the club/athlete when an accident occurs during an AGF sanctioned activity, and an ambulance is required to be called. The following steps will outline how to complete this process:

  • Following an incident where an ambulance was required to be called, complete an Incident Report Form 
  • Contact AGF as soon as possible so both parties are notified that an incident has occurred
  • Maintain contact with the injured individual’s parent/guardian and record notes as required
  • Following payment for the ambulance (whether it was by the club or the parent/guardian), scan and submit a copy of the invoice to membership@abgym.ab.ca

After confirming that the injured party is a member of AGF, a cheque will be mailed out to the payee to reimburse the expense of the ambulance.
 

General Liability Claims &
Errors and Omissions/Directors and Officers Wrongful Acts Claims

AGF member clubs who have been served with a lawsuit need to contact AGF's insurance provider immediately to begin the defence process:

Brent Brandham
Email: brent_brandham@ajg.com 
Phone: 416.408.5457

Arthur J. Gallagher Canada Limited
145 Wellington St W, Suite 1200
Toronto, ON
M5G 1H8
www.ajgcanada.com  

 

For detailed information about AGF's Insurance Policy and coverage, visit our 
Insurance Coverage webpage.