Student Accident Insurance

To Apply:

  • Choose the plan best suited to your needs.
  • Complete and sign the enrollment form (linked below).
  • Send check or money order payable to Commercial Travelers for the required yearly premium.
  • Mail to: Thomas Trevvett Agency, LLC, 2400 Genesee St., Utica, NY 13502.

**Click the image above for the information packet and enrollment form (page 5)**

LATE ENROLLMENT Coverage may be purchased at any time during the school year, but there is no premium reduction for late enrollment. 

CANCELLATION Coverage is non-cancellable and premiums will not be pro-rated or refunded.

RETURN OF CHECK BY BANK Coverage will be immediately invalidated if check is returned by bank for any reason. 

Short Term Policy

**Available for Fall 2016 only**

MDIRSS has purchased a short term policy for students in Grade 9 to have coverage during preseason.  This coverage is offered for the Fall 2016 preseason only and coverage ends on the first day of school.  There is no cost to you for this short term policy.  Contact Holly Cozzi-Burr at 288-5011 to sign up.  Click here for more information about this policy.  

*NOTE: For students to be covered for subsequent preseasons, the Around-the-Clock Plan must be purchased.  Also, students in Grade 8 that intend to play High School sports the following year should purchase the Around-the-Clock Plan prior to the end of the current school year if they want to be covered for that next Fall preseason.


                                                                           Preferred      Standard

                          Around-the-Clock Plan              $232.00        $193.00

                          Schooltime Plan                        $56.00          $42.00

                          Extended Dental*                      $16.00          $16.00

                          Football - No Deductible           $295.00        $191.00

                          Football - $100 Deductible        $257.00        $164.00

                         *Only available with the Around-the-Clock or Schooltime coverage.