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Volunteer Insurance Program

The Kentucky Volunteer Insurance Program is a service of the KCCVS. Underwritten through the Corporate Insurance Management Association, three different types of volunteer insurance are offered. Coverage runs from from July 1 to June 30, annually. Although policies may be purchased at any time during the coverage period, the premium will not be pro-rated for coverage of shorter duration.

2008-09 Insurance Information

Rates effective July 1, 2008-June 30, 2009.

Court Referral Insurance

Convicted offenders who choose alternative sentencing or community service in lieu of fines or jail time are eligible for accident-only coverage. The cost is $13 including handling fee. This policy provides a maximum of $25,000 for accidents occurring during a volunteer activity. No death benefit is offered under this policy option.

Summary of Coverage: 2008-09 Court Referral Insurance Form (PDF)

2008-09 Court Referral Insurance Form (Microsoft Word)

2008-09 Court Referral Insurance Form (PDF)

Work Release Insurance

This insurance is available for persons who are incarcerated and permitted to perform community service. The cost is $60 and includes a $6 handling fee. This premium will not be prorated for those applying later during the year. The coverage provides a maximum benefit of $25,000 for accidents during a service activity and a $2,500 death benefit.

Summary of Coverage: 2008-09 Work Release Insurance Form (PDF)

2008-09 Work Release Insurance Form (Microsoft Word)

2008-09 Work Release Insurance Form (PDF)

Volunteer Insurance

For all other volunteers, full coverage policies are $17.75 per person. The policy premium includes coverage for accidents, personal liability, excess automobile liability and a handling fee. Policies of this type are sold to volunteer organizations only.

Summary of Coverage: 2008-09 Volunteer Insurance Form (PDF)

2008-09 Volunteer Insurance Form (Microsoft Word)

2008-09 Volunteer Insurance Form (PDF)

Proof of Loss Form

2008-09 Proof of Loss Form (PDF) - Mail this form to Marzelle Wurtsmith.

More Information

Mail completed forms and payment to:

Kentucky Volunteer Insurance Program (KVIP)
275 E. Main St. Mail Stop 3W-E
Frankfort, KY 40621

Questions?

Contact Marzelle Wurtsmith at (502) 564-7420 or (800) 239-7404.

Form Help

The Microsoft Word versions can be filled out, saved or printed, but you must have the Microsoft Word program on your computer.

The Adobe PDF versions can only be saved or printed, but uses Adobe Reader. Click on the icon below to download Adobe Reader for free if you do not already have it on your computer.

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Last Updated 11/24/2008
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