Coyle Hamilton

Coyle Hamilton 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 Coyle Hamilton Willis.

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

A claim form, which should be downloaded from www.gaa.ie by clicking on the ‘Insurance & Injury Schemes’ icon.
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 before submission to Coyle Hamilton Willis within 60 days of date of injury.

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 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. Section E must be fully completed by the attending Doctor/Dentist
		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 Coyle Hamilton Willis Continuation Claim form. Doctors Medical Certificates are not acceptable. If self-employed, a letter from injured member’s Accountant on company headed paper is required confirming the nett basic earnings for the three months prior to the injury. 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.
	27	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 and onward transmission to Coyle Hamilton 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 Coyle Hamilton Willis.

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

All Disputes concerning entitlement to benefits under the scheme must be referred to the GAA Insurance Workgroup c/o Bainisteoir Riosca agus Árachais, Cumann Lúthchleas Gael, Páirc an Chrócaigh, 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 to accept the GAA Insurance Workgroup’s decision, then the matter must be submitted to an Independent Arbitrator to be appointed by mutual agreement, whose decision shall be binding on both parties, and whose costs must be paid by the unsuccessful party.

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.