Insurance

If you have a need to submit a claim for insurance, please complete the below steps. The player directly affected can fill out and send the form, simply forward this link to them. 

PLEASE ENSURE YOU WEAR A VISOR OR CAGE IN THE WRHL

All registered players in the league are afforded Accidental Death & Dismemberment insurance coverage. This coverage can help supplement any injuries which were sustained during the league-run games and will respond after any other personal insurance plans are exhausted. Please take some time to review the Coverage Summary for coverages and limits associated with the different types of injuries insured under this policy. Duncan Mortimer is the insurance broker for the league. Any questions and/or claim submissions are to be sent to him and (enter league email) etc…. 

Coverage Summary

If you suffer an on-ice injury while playing in a registered game, please complete the Accident Reimbursement Form and provide any additional documentation that has resulted from the injury. (i.e. receipts, physician documents etc.) Prior to sending to Duncan Mortimer, please ensure that all documents have been compiled and completed, as well as the “Team Authorization” section of the reimbursement form which is to be completed by the captain/coach of your team.

Blank Form - Accidental Reimbursement Plan

1.  Download and attach the completed form.
2.  Email the completed form to Duncan Mortimer (duncan_mortimer@ajg.com ) and CC admin@winnipegrechockeyleague.com  
3. Be sure to include in the email:
   1. Your Team 
   2. The Player 
   3. The Date of the Incident

Email Template

Hello, 

Please see attached for a completed accident form for policy 100012988:

• Team:
• Player:
• Date:

Kind Regards,

Your Name