Get the free 2010-2011 Student Insurance Enrollment Form - mercy

This enrollment form provides details on the student accident and sickness insurance plan, including coverage options, benefits, and instructions for enrollment at Mercy College.

How to fill out 2010-2011 student insurance enrollment

How to fill out 2010-2011 Student Insurance Enrollment Form

1. Obtain the 2010-2011 Student Insurance Enrollment Form from the school's website or administrative office.
2. Read the instructions carefully to understand the information required.
3. Fill in your personal details such as name, date of birth, and student ID number in the designated sections.
4. Provide your contact information, including your permanent address, phone number, and email address.
5. Indicate your desired insurance coverage options by checking the appropriate boxes.
6. If applicable, include any dependents by filling out their information in the specified section.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form to confirm that the information provided is correct.
9. Submit the form by the deadline either online, by mail, or in person to the appropriate office.

Who needs 2010-2011 Student Insurance Enrollment Form?

1. Students who are enrolled in the 2010-2011 academic year and wish to have health insurance coverage.
2. Students who do not have alternative health insurance or need to enroll in the university's insurance plan.
3. International students who require health insurance as part of their visa requirements.

People Also Ask about

Is UnitedHealthcare accepted in all 50 states?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plan's network.

Can I use my health insurance from another state?

With more than 1.5M physicians and health care professionals and 6,200 hospitals in all 50 states, UnitedHealthcare makes it easy for members to find a network physician or hospital — helping your clients to control costs.

Can you use UnitedHealthcare everywhere?

With UnitedHealthcare Options PPO health plans, you can use any doctor, clinic, hospital or health care facility in the national network. Staying in the network — a group of health care providers and facilities that have a contract with UnitedHealthcare — saves you money.

What is the coordination of benefits for the Affordable Care Act?

Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an

Does federal law require employers to provide health insurance?

Under the ACA, employers with 50 or more full-time employees (or the equivalent in part-time employees) must provide health insurance to 95% of their full-time employees or pay a penalty to the IRS. This penalty is quite hefty — $4,460 per employee per year (in 2024).

Can I use United Healthcare out of state?

That means you're able to use your health insurance no matter where you are. It's important to make sure the providers you're seeing (and the care you're getting from them) is in your plan's network. That way, you're getting the full benefits of the plan, including lower out-of-pocket costs.

What type of insurance is UnitedHealthcare student resources?

UHCSR offers injury and sickness plans - for both domestic and international students – customized to meet your needs. Because UHCSR knows that students need more, they also offer emergency medical travel services, vision and dental plans and insurance for risk groups - like study abroad and special summer programs.

For pdfFiller’s FAQs

What is 2010-2011 Student Insurance Enrollment Form?

The 2010-2011 Student Insurance Enrollment Form is a document used to enroll students in a health insurance plan for the academic year 2010-2011.

Who is required to file 2010-2011 Student Insurance Enrollment Form?

Students who are required to have health insurance coverage for the academic year must file the 2010-2011 Student Insurance Enrollment Form.

How to fill out 2010-2011 Student Insurance Enrollment Form?

To fill out the 2010-2011 Student Insurance Enrollment Form, students must provide personal information, including their name, student ID, and details about their insurance plan if applicable.

What is the purpose of 2010-2011 Student Insurance Enrollment Form?

The purpose of the 2010-2011 Student Insurance Enrollment Form is to collect necessary information to facilitate student enrollment in health insurance programs offered by educational institutions.

What information must be reported on 2010-2011 Student Insurance Enrollment Form?

The information that must be reported includes the student’s personal details, current health insurance provider, policy number, and any dependents to be covered under the policy.