Supplemental Insurance is required for trips lasting more than 2 consecutive nights (or 3 nights if one is a federal holiday). Supplemental Insurance is also required for non-registered participants at any Girl Scout activity. Non-registered participants might include boys, non-registered adults, younger siblings, etc.
Before completing this application ensure each participant is the appropriate age to participate in the program. You cannot insure non-participants. (For instance, a 4-year old tag-a-long at an archery event cannot be insured since the child is not old enough to participate in archery.)
Before completing this application, refer to Volunteer Essentials and review Safety Activity Checkpoints or specific emergency procedures and first aid safety guidelines for each activity. Be sure to follow all standards that apply to your trip/activities.
Submit this form and your payment at least 2 weeks prior to the event.
Payment for supplemental insurance must be done via check. Send a check payable to Mutual of Omaha to:
Girl Scouts, Hornets' Nest Council
Attn: Supplemental Insurance
7007 Idlewild Road
Charlotte, NC 28212
See the chart below to calculate the amount.
There is a minimum charge of $5.
Contact the GSHNC Customer Care team at 704-731-6500 if you have questions about supplemental insurance.