Property/Casualty Claims Frequently Asked Questions
This page contains important questions and answers concerning how and when to file a property/casualty claim. You may also go directly to any claim page from the links below.
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What loss information is required to submit a claim?
The Date of the Incident and Detailed Description of the Loss are required. However, providing the following information will assist in expediting the investigation process:
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Should the police be notified of every motor vehicle accident?
The Fund does not require members to notify police of all accidents; however we encourage you to notify the proper authorities on accidents involving:
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Fatalities
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Injuries
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Minors
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Intersections
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Uninsured motorist
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Is a police report required in order to submit a claim?
No. It is not necessary to obtain a police report prior to reporting a claim, but we encourage you to submit if available at the time.
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Who selects the repair shop where the vehicle will be repaired?
You may have the vehicle repaired at the shop of your choice, but we ask that you do not authorize repairs until you speak with a Property/Casualty Claims representative.
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Will I receive any type of confirmation that my claim has been successfully submitted?
Yes. You will receive an e-mail that includes the claim number, name and extension of the handling adjuster.
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What information do I need to submit a claim?
The following fields are required for claim submission:
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Member Name
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Name of Contact
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Phone Number
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Date of Incident
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Detailed Description of Loss
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Name of Person Completing Report
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E-Mail Address for Confirmation
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What if the facts change or I don't have all the information needed to report a claim?
What's most important is to report your claim as soon as possible even if you don't have all of the information. Your adjuster will frequently contact you throughout the claims handling process. This will give you plenty of opportunities to provide additional and relevant information.
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Do I need to file a police report for vandalism or theft?
Yes.
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Do I need to file a fire department report for fire-related losses?
If you feel the structure is not safe, contact the fire department. You must also provide a copy of the fire department report whenever they respond to the loss.
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When should I report a general liability claim?
When someone seeks reimbursement for medical expenses or property damage as a result of an incident caused by the activities of a member's employee.
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What information do I need to submit a claim?
The following fields are required for claim submission:
- Member Name
- Name of Contact
- Phone Number
- Date of Incident
- Detailed Description of Loss
- Name of Person Completing Report
- E-Mail Address for Confirmation
The entry screens will prompt you for additional information but you may only provide only the details available at the time of submission.
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Why should general liability claims be submitted to the Fund when school districts are afforded immunities that exempt them from liability?
The Texas Tort Claims Act provides specific immunities to school districts and their employees; however state laws do not bar all claims. Incidents should be submitted so that the Property/Casualty claims adjuster can investigate the claim and determine if immunities apply.
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What is a personal injury claim?
Allegations of false arrest, libel, slander, or other defamatory or disparaging claims.
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What type of claim is covered under the Employee Benefits Liability section of the General Liability coverage document?
This coverage protects members from consequences of many common errors made in the administration of employee benefits programs.
A wrongful act can include any actual or alleged error, misstatement, omission or breach of duty that results in a claim.
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Who is covered under the SPLL coverage document?
A covered person can include trustees, school board members, volunteers, teachers or other employees acting within the course and scope of their duties or employment
A claim is a verbal or written demand for monetary or non-monetary relief or damages that has resulted in litigation or in which a member reasonably anticipates litigation.
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Do requests for Special Education Hearings or Equal Employment Opportunity Commission complaints qualify as a claim?
No, however, we encourage you to report these proceedings so when the administrative process is exhausted, and the challenge leads to litigation, the reports will provide the required notice.
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What should members do when they get sued?
Lawsuits are time sensitive and should be reported to the Fund immediately upon service or receipt. Submit a faxed or scanned copy of the complaint to the SPLL Claims Inbox or call 800.580.6720.
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Should I report any demands or threats of legal action made by an attorney?
Yes. Claims can come in many forms including an attorney demand letter or e-mail. Copies of these should be submitted to the Fund immediately. We encourage you to provide copies of prior correspondence, internal reports, results of appeals, and any other document that would be relevant to the case.
Once a claim has been submitted, refrain from having conversations with the attorney. Direct all inquiries regarding the claim to the Fund.
Please consult your specific coverage document for additional information and clarification of the items listed above. This web page does not create or limit coverage.
