As authorized by Texas Labor Code 412.011, the State Office of Risk Management has developed a Statewide Volunteer Insurance Program to provide excess liability, excess automobile liability, and excess accident/medical coverage for registered volunteers of Texas State Agencies and Institutions of Higher Education.

Written through the CIMA Companies, Inc. - Volunteer Insurance Services, Texas State Agencies and Universities have the option to select one, any combination of, or all coverage lines for their volunteers.

Policy Information and Coverage Details can be found at the following link on CIMA's website - Volunteer-Insurance-Web-Doc.pdf (PDF).

To Obtain Coverage:

• Complete SORM's Volunteer Insurance Application (MS Word) (PDF).
• • The contact person on the application will be considered the "Volunteer Program Coordinator" at the applying state agency/university, and will be SORM's contact regarding premium payments, claims reporting, and record keeping.


• Fax the completed application back to SORM at (512) 370-9065.
• • Coverage will become effective the first day of the following month, after the application is received, (unless otherwise requested) and will end the following June 30th.
• • CIMA issues all policies on an annual basis from July 1st to July 1st. If coverage is started in the middle of the policy term, a pro-rated premium will be calculated and coverage will be renewed on July 1st each year, thereafter.


• SORM will send the contact person listed on the application ("Volunteer Program Coordinator"), the following three items.
• • A Memorandum of Understanding (MOU) which establishes uniform procedures for administration of the program. This form must be signed and returned to SORM.
• • An invoice for payment.
• • A copy of SORM's State of Texas Purchase Order (PO) authorizing the volunteer insurance program purchase. The state entity should retain the PO for their procurement records.


• After the MOU and payment are received by SORM, copies of the Insurance Policies and Certificates of Insurance will be sent to the Volunteer Program Coordinator. The named insured on the policies will be "The State Office of Risk Management and Participating Texas State Agencies".

Forms to Obtain Coverage

Claims Reporting:

All claims should be reported through the State Agency's Volunteer Program Coordinator who will submit to the State Office of Risk Management.

To Report a Medical/Injury/Accident Claim:

• The Volunteer Program Coordinator must verify that the claimant is
  a. an agency volunteer (listed on an official agency volunteer roster),
  b. who was volunteering on the date of injury,
  c. and that the injury/accident happened in the course and scope of the volunteer's assigned duties.
• Once verified, the Coordinator, with assistance from the claimant (or claimant with assistance from the Coordinator), must print and complete all sections of the "Proof of Loss" Claims Form (PDF) EXCEPT the Director’s Official Certification section.
• Once the Form is satisfactorily completed, the claimant must sign and date the Authorization to Release Information section.
• A copy of the completed Form and all related itemized medical bills should be sent to SORM via fax at (512) 370-9065 or mail (address provided below in the Contact Information section).
• SORM will complete the Director's Official Certification section and forward all documentation to CIMA.

To Report an Auto Liability or Personal Liability Claim:

• The Volunteer Program Coordinator should immediately notify Bonds and Insurance at (512) 936-2942 or e-mail: Bonds and Insurance.
• If possible, the Volunteer Program Coordinator should send written notice containing the time, place, and description of the accident, including the names, addresses, and phone numbers of the person involved, as well as, names and addresses of witnesses to SORM via fax at (512) 370-9065 or mail (address provided below in the Contact Information section). A formal Accident Report, such as the Texas Department of Public Safety (DPS) Driver's Confidential Accident Report Form (ST-2) could be utilized. Copies of this form can be obtained at: http://agservices.tamu.edu/forms/txdpsst-2.pdf (PDF).
• SORM will forward all information and documentation to CIMA.

Claims Reporting Forms:

• Medical/Injury/Accident - "Proof of Loss" Claims Form (PDF)
• Auto Liability/Personal Liability - Accident Report SAMPLE ST-2 (PDF)

Contact Information:

If you have any questions, please contact us by:

• Contact e-mail: Bonds and Insurance; or phone: 512-936-2942.

SORM's Mailing Address:

• State Office of Risk Management
  Bonds and Insurance Section
  PO Box 13777 Austin, TX 78711-3777