We have arranged a special facility to provide accident coverage to camps and other programs which may be held on campus.
Please click here for a description of the coverage.
For Youth Camp Programs, including Youth Athletic Camps (excluding football camps) for participants 18 and under, please use the Youth Athletic and Youth Non-Athletic rate calculators on the UC Statewide Campers Audit Form to report athletic and non-athletic camp activities to be covered under the policy.
For Adult Camp Programs, including non-High School, College/Undergraduate, Graduate and Post Graduate/ Doctoral Students please use the Adult Rate Calculator on the audit form. This insurance program is underwritten to cover school-sponsored activities such as research, preceptorships, workshops, seminars, internships but excluding medical resident internships etc.
UC Statewide Campers Audit Form
Please click here to complete the UC Statewide Campers Audit Form.
Instructions: Begin by entering the information for one camp activity, and identify whether it is a Youth Athletic, Youth Non-Athletic, or Adult activity. Click the Calculate Premium Due button to calculate the premium automatically. The minimum premium on all camps is $25.00, the calculator is set to default premiums which fall below the $25.00 minimum. Please note that premiums are different for youth athletic, youth non-athletic, and adult activities. Please note that the completed audit form serves as your invoice, please print the form using your browser’s Print button and mail a copy of the form with a check payable to Consolidated Program Insurance Services, 77 Mark Drive, Suite 26, San Rafael, CA 94903 in order to bind coverage.