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Get the free 2009-2010 MESA STATE COLLEGE ATHLETIC DEPARTMENT PRIMARY HEALTH INSURANCE INFORMATION

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This document serves as the primary health insurance information form required for student athletes at Mesa State College, detailing necessary insurance coverage mandates and participant responsibilities
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How to fill out 2009-2010 MESA STATE COLLEGE ATHLETIC DEPARTMENT PRIMARY HEALTH INSURANCE INFORMATION

01
Obtain the 2009-2010 MESA STATE COLLEGE ATHLETIC DEPARTMENT PRIMARY HEALTH INSURANCE INFORMATION form from the athletic department or their website.
02
Start by filling out the athlete's full name at the top of the form.
03
Provide the athlete's date of birth and any relevant identification number required.
04
Enter the details of the primary health insurance provider, including the company's name, policy number, and contact information.
05
Include the name of the insured individual if it is different from the athlete.
06
Fill out any additional required fields, such as the group number and the effective date of the insurance policy.
07
Review the form for accuracy and completeness before submission.
08
Submit the completed form to the appropriate office at MESA STATE COLLEGE as instructed.

Who needs 2009-2010 MESA STATE COLLEGE ATHLETIC DEPARTMENT PRIMARY HEALTH INSURANCE INFORMATION?

01
All student-athletes participating in sports at MESA STATE COLLEGE for the 2009-2010 academic year.
02
Athletic department staff who need to verify the health insurance status of student-athletes.
03
Parents or guardians of student-athletes who are required to provide insurance information for the athletes.
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The 2009-2010 Mesa State College Athletic Department Primary Health Insurance Information refers to the details and guidelines regarding the health insurance coverage provided to student-athletes participating in college sports during that academic year.
Student-athletes who participate in sports at Mesa State College during the 2009-2010 academic year are required to file this information.
To fill out the insurance information, student-athletes should provide their personal details, insurance provider information, and policy numbers on the designated form provided by the Athletic Department.
The purpose is to ensure that all student-athletes have adequate health insurance coverage in place to protect them in case of injuries or medical expenses incurred while participating in athletic events.
The information that must be reported includes the name of the insurance company, policy number, the name of the insured, and contact information for the insurance provider.
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