Student Accident Insurance

This student accident policy covers CYO Sports. It is limited to CYO practice and CYO
games that are scheduled by, approved by or sanction by the CYO. The coverage is for
the activity that is in season as indicated by the CYO Calendar.

Contact the CYO Office to make an appointment to receive a claim form and copy of the
certificate of coverage. The CYO administrator is required to complete Part A. The
person submitting the claim must know all the particulars of the injury. What, Where,
When, How the injury occurred.


You may view an on line copy of the "Summary of Coverage" by clicking here.

NEW: The Student Assurance Services claim form can be completed and submitted online!

Please click here to access the online form.

A PDF copy of the Claim Form to print and submit is available by clicking here.


For more information, please contact the CYO Office at 913-384-7377.

Catholic Youth Organization of Johnson & Wyandotte Counties. 

© 2017 by CYOJWA. CYO is a 501(c)(3) nonprofit.


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5041 Reinhardt Drive, Suite 310

Roeland Park, KS 66205

Phone: 913-915-0139