Willis - GAA

Willis have been retained as professional claims handlers, and have responsibility for the day to day operation of the scheme.

In accordance with instructions from Cumann Lúthchleas Gael all queries and correspondence relating to any claim must be made through the Club Secretary (and County Secretary/Scheme Administrator as appropriate) and not directly with Willis.

Claim Form: The following is required in respect of all claims regardless of claim type:

A claim should be downloaded from www.gaa.ie and the GAA Injury Scheme can be found under the heading of ‘Popular Links’
Claimant’s Membership Number must be supplied on the claim form
If a player returns to play after an injury and is re-injured a new claim form must be submitted
A copy of the Referee’s report if the injury was sustained in an official match
A letter from the Club Chairman/Secretary if the injury occurred in an Official Training Session or Challenge Match
Where a claim is being pursued under 1.4 a letter from the Club Chairman/Secretary confirming the claimants membership and stating the circumstances surrounding the accident/injury
The claim form in particular sections A, E and F should be fully completed and signed by the injured member. The claim form together with all relevant supporting documentation should then be forwarded to the Club or County Secretary/Designated Scheme Officer for their signatures/validation.

All claims are required to be reported to Willis within 60 days of the injury by completing, as a minimum the 1st two pages of the claim form which should be signed and dated by the claimant.

In the event that the claimants signature and date is omitted the 1st two pages of the claim form will be returned for completion.

Claims reported outside the 60 days will not be processed.

In addition to the claim form the following supporting documentation is required depending on claim type:

		Medical /Dental claims: Offical Medical receipts (invoices are not acceptable). Under Section A of the claim form confirmation whether the injured member has any third party medical insurance must be completed to enable the claim to be assessed as the scheme only provides cover for non-recoverable costs up to the limits of the scheme. In all cases, Section E must be completed and stamped by the attending Doctor/Dentist only. If no stamp is available a business card or confirmation on the Doctor/Dentist headed paper must be submitted.
		Loss of Wages claims: Three recent payslips dated prior to the injury or a letter from the injured member’s employer on company headed paper confirming the injured member’s basic nett pay(stating weekly or monthly). Ongoing Loss of Wages claims can only be considered upon receipt of Willis Continuation Claim form. Doctors Medical Certificates are not acceptable. If self-employed, a letter from the injured member’s Accountant on company headed paper is required confirming the nett basic earnings for the three months prior to the injury. If the self employed claimant has no accountant the relevant information must be submitted by their solicitor /tax advisor. In addition, if a substitute worker has been employed a letter from the Accountant on company headed paper confirming the cost is required. If Claimant is related to employer proof of wages must be supplied by the employer's accountant. In all cases, Section D, must be completed.
	26	Once the injured member is satisfied that the claim form has been fully completed and all supporting documentation attached, he/she should sign it and forward it to the Club or County Secretary/Designated Scheme Officer as appropriate for their signatures/validation and onward transmission to Willis who will only then be in a position to assess the claim

If a submitted claim is not fully documented, the necessary documents, which must be submitted in a timely manner, will be requested by Willis.

All payments in respect of claims shall be made by Willis through the appropriate County Committee.

All Disputes concerning entitlement to benefits under the Scheme must be referred to the GAA Insurance Work Group c/o Bainisteoir Roisca agus Árachais, Ascal San Séosaph, Baile Átha Cliath 3 who shall investigate the case in full and decide on the level of benefit payable if any.

Should the claimant refuse the GAA Insurance Work Group’s decision, then the matter must be submitted to an Independent Expert (‘ the Expert’ ) to be appointed by mutual agreement, (or in default of agreement within 7 days, by the president for the time being of the [ Law Society of Ireland ] ).

The Expert shall act as an expert and not as an arbitrator. The Independent Expert’s decision shall be final and binding on the parties in the absence of fraud or manifest error. The Expert’s fees shall be borne in such proportions as the Expert shall direct.

All Complaints related to the administration of the Injury Scheme must be forwarded to the appropriate County Secretary for investigation.

For information purposes only. It does not form any contract and does not purport to deal with all aspects of the GAA Injury Scheme.