Student Accident Insurance 2016-17 Forms
underwritten by QBE Insurance Company 
The QBE Insurance Company offers independent Accident Insurance for any student. Parents or guardians wishing to sign up will find links to Instructions, Applications, and Claim Forms listed below.
Please note that the QBE Insurance Company and Jefferson County Schools are not affiliated in any way. Any communication pertaining to the insurance policy coverage or benefits must be directed to the contact persons listed below. 
If you have any questions please contact your local servicing agent - Mark Basile by email at: or by calling Mark at: 304-624-6438. 

Doug Young, President
256 West Millbrook Road
Raleigh NC 27609
O: 919-846-9798
M: 919-606-0398
F: 919-846-1146