Like I replied, the insurance policy probably sounds much better than it actually is. Plenty of players have gotten hurt in bowl games. So unless you're a sports agent or university athletic department official with a lot of first-hand knowledge of these policies, I'll keep on assuming it's much better to enter the combine healthy. Why don't up just thank Mr. Forbes for his service and go about your day?
The NCAA’s Catastrophic Injury Insurance Program
The NCAA does provide some disability insurance through its Catastrophic Insurance Program. The NCAA pays the full premiums for the catastrophic injury policy, and all member NCAA schools are automatically provided with the insurance coverage. The insurer of the policy is the Mutual of Omaha Insurance Company. The NCAA catastrophic program provides three main types of benefits: medical benefits, true catastrophic injury benefits, and death benefits.[50]
The “medical benefits are available to those Insured Persons[51] who meet the deductible within the required timeframe, incur medical expenses in excess of the deductible as a result of an injury sustained during a Covered Event, and has not triggered the date of recovery clause.” A covered event under the policy is “a. a Qualifying Intercollege Sport competition scheduled by the Insured Person’s Participating School; b. official team activities; c. conditioning; or d. practice sessions.” Events held by organizations other than the participating school, such as camps or clinics, are not covered. A policy deductible is “the total amount of eligible medical expenses that must be incurred as a result of an injury sustained during a Covered Event before the benefits under the NCAA catastrophic policy will be available.” Furthermore, “[t]he deductible must be met within two years following the date of injury.” Currently, the deductible is $90,000, increasing from $75,000 recently. If all institutions comply with the NCAA mandatory health insurance regulations, the “catastrophic program deductible will be covered by the student‑athlete’s or parents’ personal insurance coverage or through a basic accident medical policy carried by the institution.” The NCAA explains that the goal of this requirement is to “avoid a situation where a student-athlete is faced with paying the amount under the NCAA Catastrophic policy deductible out-of-pocket.”
Exceptional Student-Athlete Disability Insurance Program
The Catastrophic Injury Insurance Program is not the only insurance the NCAA offers. The NCAA also offers extra disability insurance coverage to a select group of elite athletes. This disability insurance coverage is known as the “Exceptional Student-Athlete Disability Insurance” program. “This program ‘helps’ elite college athletes—those who will likely earn millions from careers in professional sports—get insurance . . . if an injury causes a playing career to end.” The ESDI program began in 1990, but it initially only covered football and men’s basketball. The NCAA explains the original reason the program was created was to protect student-athletes from “both injury concerns and attempts by agents to lure the student-athletes away from school and into the professional leagues.” Another concern listed was that it was designed to protect NCAA athletes’ amateur status because agents were giving money to players to purchase insurance.
For a student-athlete to be eligible for the ESDI program, the student-athlete must have remaining athletic eligibility at an NCAA institution in football, basketball, baseball, or men’s ice hockey. The student-athlete must also demonstrate that “they have professional potential to be selected in the first two rounds of the upcoming National Football League or National Hockey League draft or the first round of the upcoming draft of the National Basketball Association, Major League Baseball or Women’s National Basketball Association.” However, “the policy does not explicitly list what criteria is used to determine whether a student-athlete demonstrates ‘professional potential,’ but the NCAA often uses professional scouting services to assist in their evaluations, which can be an inexact science.”The NCAA also notes that the program is not limited to the sports listed above as other student-athletes are eligible for coverage, but their cases are reviewed on a case-by-case basis.
Athletes are not required to apply for the program before the season starts but are capable of playing their way into the ESDI program. Essentially, if a student-athlete is found to be ineligible before the start of a collegiate season, but he plays well enough during the season to increase his draft stock, they can then apply and obtain coverage mid-season. “The polices are written in a way that incentivizes players to want to continue playing their sport, as they will be able to earn more as a professional than they would by collecting on a policy.”
The policy acquired through the ESDI program is not paid for by the NCAA or the student‑athlete’s institution but instead is paid by the student-athlete or their family. However, student-athletes approved for the program are automatically eligible for a loan to pay the premiums on the policy. If the student-athlete acquires a loan to pay the premiums, they are not responsible for making any payment on the loan until one of the following occurs: “(1) the student-athlete signs a professional contract, (2) the disability benefits become available due to a covered injury or sickness or (3) the coverage is no longer in effect and the loan note matures.”[106] Because the ESDI program is a group program, the premiums are relatively affordable. This is because the insurer can share the administrative cost and spread the risk among the participating athletes. The premiums “for the policy can be as much as ten thousand to twelve thousand per one million insured.”