This insurance option may only be used if you do not belong to any other groups listed on this website.
When reporting a notice of loss (injury, property damage to third parties, auto accidents, etc.; related to a registered event), please provide as much detail as possible. This should include, but not be limited to, Insured Name (The Regents of the University of California plus student organization/club name), Contact Name (student organization/club), Policy Number, Claimant Name, Claimant Contact Information, Date of Loss, Location of Loss, Cause of Loss, Your Policy or Reference Number, Initial Steps Taken to Mitigate the Loss, Type (s) and Description of Damage and Estimated Amount of Loss.
The claims customer service department will immediately process your first notice of loss and you will be contacted by your servicing representative.
For information on how to report a University of California Accident Medical claim, view the form. You must report the accident to ACE prior to reporting to Philadelphia.
Phone: (800) 727-7642 (8:00 a.m. to 5:00 p.m. Central, M-F)
FAX: (715) 344-6126
Special Markets Insurance Consultants, Inc.
1265 Main Street, Suite 202
Stevens Point, WI 54481
**Request for quote form must be completed and returned for underwriter review. Submission of this form does not guarantee coverage. Quote will be offered if risk meets Underwriting Guidelines. Payment of premium is Named Insured’s formal request to obtain insurance through the Special Markets Accident Medical Insurance Program.