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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.

2011-12 Insurance Information and Forms

Rates effective July 1, 2011-June 30, 2012. Due to rising costs to the KCCVS for insurance policies, rates for work release/court referral insurance have increased.

  • Rates for the court referral insurance will increase to $16.
  • Rates for the work release insurance will increase to $71.
  • Rates for the volunteer insurance will increase to $21.

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 $16 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 - Court Referral Insurance 2011-12

Court Referral Insurance Form 2011-12

Work Release Insurance

This insurance is available for persons who are incarcerated and permitted to perform community service. The cost is $71 and includes a $7 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 - Work Release Insurance 2011-12

Work Release Insurance Form 2011-12

Volunteer Insurance

For all other volunteers, full coverage policies are $21 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.

KRS 411.200

Volunteer Insurance (VIS Information) 

Summary of Coverage - Volunteer Insurance 2011-12

Volunteer Insurance Form 2011-12

Proof of Loss Form

Proof of Loss Form 2011-12 - Mail this form to Marzelle Wurtsmith.

2010-11 Insurance Information and Forms

Rates effective July 1, 2011-June 30, 2012.

Court Referral Insurance

Summary of Coverage - Court Referral Insurance 2010-11 (PDF)

Court Referral Insurance Form 2010-11 (PDF)

Work Release Insurance

Summary of Coverage - Work Release 2010-11 (PDF)

Work Release Insurance Form 2010-11 (PDF)

Volunteer Insurance

KRS 411.200 (PDF)

Volunteer Insurance (VIS Information) (PDF)

Summary of Coverage - Volunteer Insurance 2010-11 (PDF)

Volunteer Insurance Form 2010-11 (PDF)

Proof of Loss Form

Proof of Loss Form 2010-11 (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

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Last Updated 5/16/2011
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