Vail School District
2021-2022 High School Device Self-Insurance Policy
Various provisions in this policy restrict coverage. Please read the policy to understand your family’s rights and
responsibilities, and what is covered. The district is self-insured. Please help us keep premiums and deductibles
low by taking very good care of the device.
A. Costs
1. There is a yearly premium of $50. This premium is good for one school year. Should there be a claim for
insurance coverage there is a $50 deductible per claim.
2. We recommend that the student use a padded laptop bag or sleeve.
3. The school principal has the final say in determining insurance and repair situations.
B. Covered Equipment
1. The insurance provided applies to any device issued, purchased, or owned by a Vail High School,
whether it is the originally issued device, a loaner, or a replacement.
2. The deductible for the claim is the same, whether the machine is the original, a loaner, or a replacement
device. For example, if your child has been issued a device loaner and breaks the device loaner, there
will be a deductible due for the breakage of the device loaner.
3. There will not be an additional premium for the use of a device loaner.
4. The data contained on the device is not covered. There is no provision for the time or cost needed to
replicate any missing data
5. A device not owned by the Vail School District is not eligible for this insurance.
C. Exclusions
The school will not pay for loss or damage caused by or resulting from the following:
1. Deterioration, corrosion, erosion, wear and tear, faulty materials, or design errors. Please note that
corrosion can occur from spills. Liquids and electronic devices don’t mix. Not informing the tech
department immediately of spill damage will void the insurance coverage for that incident.
2. Loss caused by surge, lightning, or inappropriate electrical use.
3. Dishonest, fraudulent, or criminal acts.
4. Any loss to accounts, valuable documents, music or videos, records, or assignments and/or their effects
by being missing on grades, GPAs, special group considerations such as valedictorian, college or
university admission, or employment. Students are responsible for backing-up their own data. An
insurance claim will only cover material issues with the device, not lost opportunities or data.
5. Loss caused by your failure to use all reasonable means to protect the device that has been damaged.
6. Disappearance not accompanied by a police report.
D. Claim Procedures
1. Bring the device directly to your school’s Technology Department.
2. The Technology Department will examine the device to determine if there is a qualified insurance claim.
If there is a claim, the student will fill out paperwork at the Tech Department about the breakage and the
deductible collection. The Tech Department will forward the claim to the Student Store.
3. The student will return to the school Tech. Dept. with the Student Store’s paperwork in order to receive a
loaner.
4. In cases of theft or disappearance, a Police Report must accompany the student before a loaner device is
issued. The Police Report must also directly mention the loss of the device and the circumstances
surrounding the loss.
5. Your child will bring home a form from the school Student Store regarding the insurance claim. Please
pay the deductible promptly. Payment plans are available. Non-payment of deductible funds can result in
certain kinds of ineligibilities and other consequences.
Vail School District
Self-Insurance Policy Form
2021-2022
Acceptance
I agree to purchase a Self-Insurance Policy for my child. I understand that should there be a claim there is a deductible amount of $50
that I am responsible for. The insurance premium of $50 is paid yearly. I understand that I am purchasing only one (1) year’s premium
at this time. I have received a copy of the Self-Insurance policy
I also agree to require my child to use a laptop sleeve or padded laptop bag. Failure to do so may result in the Insurance Policy being
null and void and I agree to be billed for the full repair, parts and labor.
______________________________________________
Student’s Name (Please Print)
______________________________________________
Parent’s Name (Please Print)
______________________________________________ ___________
Parent signature agreeing to purchase the Self-Insurance Policy Date
Decline
I decline to purchase the Self-Insurance device Policy for my student. I understand that I am responsible for all replacement,
breakage, damage, and theft costs required to renew the device to its original condition, as determined by the school. I also understand
that I am responsible for device chargers that are damaged or broken and will replace a damaged charger with an original model.
I also agree to require my student to use a padded laptop bag at all times.
______________________________________________
Student’s Name (Please Print)
______________________________________________
Parent’s Name (Please Print)
______________________________________________ ___________
Parent signature declining the Self-Insurance Policy Date