This is the HCC development site. Click here for www.haywood.edu

Incident Insurance Report

Incident Report Form 
  • Employee/Property-Send report to Debbie Trull HR in Frazzell Building (828) 627-4615
  • Visitors/Student-Send report to Janice Gilliam SDS in Student Center (828) 627-4508

Student Accident Insurance Coverage

Insurance Form 
  • Student will need to complete Insurance form
  • Bring to Student Services for Insurance Administrator signature
  • Student will need to send claim to Summit America to the address on the insruction page.

Debbie Carpenter,
Student Development Services
(828) 627-4502
Haywood Community College
185 Freedlander Dr.
Clyde, NC  28721

How To File A Claim

If a claim arises, obtain a claim form for the school within 30 days of the date of loss or as soon as reasonably possible.  Proof of loss must be furnished within 90 days for the date of the accident.  Complete the form; bring to Student Services to be signed by College Insurance representative; attach all medical bills; primary explanation of benefits and mail to the insurance carrier.

If other medical insurance is in force at the time of the claim, no benefits are payable for any expense that is payable by other insurance.

This page was last modified on Tuesday, September 02, 2008 at 02:13 PM