Any claims that you may incur during the term of your coverage should be reported directly to the MASB-SEG Property/Casualty Claim Department by utilizing the links below:

  • Property Loss Form
    Any loss involving the theft or physical damage to any member-owned property. This claim form may also be used for Building, Equipment Breakdown, Cyber, Crime, Outdoor Property and Damage to Equipment.
  • General Liability Form
    Any visitor or student injury arising out of the district's operations. This claim form may also be used for Bodily Injury, Med Pay, Property Damage to a Third party, Assault and  others (Discrimination/Violation of Statute/Employment matters).
  • Auto Incident Form
    Complete for all accidents/incidents involving Member vehicles regardless how minor.
  • Notice of Complaint Form
    When a lawsuit is served upon the school, please provide immediate notice to the Pool. A lawsuit requires answering within a prescribed period of days following service upon the Member. It is extremely important to report all lawsuits to the Pool on the date they are received.

If you are unsure of which form to use, please feel free to contact the Property/Casualty Department at 1-800-292-5421.

You may also contact one of the following parties by first calling 1-800-292-5421 and then the extension:

Jim DuRussel, Claim Manager ...Ext. 642
Monday – Friday 7:30 a.m. to 4:30 p.m.

Janet Sluiter, Claim Manager ....Ext. 671
Monday – Friday 7:30 a.m. to 4:30 p.m.

Rachael Feldpausch, Claim Department Manager ...Ext. 623
Monday – Friday 7:30 a.m. to 4:30 p.m.

After Hours Emergency ............................. 1-866-633-0004

Thanks for using the MASB-SEG Property Casualty Pool's online claim forms.