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This document outlines the student insurance plan for Saint Augustine’s College, detailing coverage for accidents, sickness, eligibility, benefits, exclusions, and the claims process.
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How to fill out SAINT AUGUSTINE'S COLLEGE • OPTIONAL SUPPLEMENTAL EXPENSE BENEFIT COVERAGE ENROLLMENT CARD 2009-2010

01
Obtain the SAINT AUGUSTINE'S COLLEGE OPTIONAL SUPPLEMENTAL EXPENSE BENEFIT COVERAGE ENROLLMENT CARD 2009-2010 form.
02
Fill in your personal information at the top of the card, including your name, address, date of birth, and student ID number.
03
Review the coverage options provided on the form and select the benefits you wish to enroll in by marking the appropriate boxes.
04
Indicate your payment method for the optional supplemental coverage, if applicable.
05
Read the terms and conditions carefully before signing the card.
06
Sign and date the card at the designated area to confirm your enrollment.
07
Submit the completed enrollment card to the appropriate office at SAINT AUGUSTINE'S COLLEGE by the specified deadline.

Who needs SAINT AUGUSTINE'S COLLEGE • OPTIONAL SUPPLEMENTAL EXPENSE BENEFIT COVERAGE ENROLLMENT CARD 2009-2010?

01
Students enrolled at SAINT AUGUSTINE'S COLLEGE who wish to have additional coverage for expenses beyond their primary health insurance plan.
02
Students who anticipate needing extra financial assistance for medical or emergency situations during the academic year.
03
Parents or guardians of students who want to ensure their child has comprehensive health coverage while attending college.
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It is a document that allows students to enroll in supplemental health benefit coverage specifically offered by Saint Augustine's College for the academic year 2009-2010.
Students who wish to enroll in the optional supplemental health benefit coverage are required to file this enrollment card.
The enrollment card should be filled out by providing personal information such as the student's name, student ID, contact details, and selecting the desired coverage options.
The purpose of the enrollment card is to enable students to opt into additional health coverage to cover medical expenses that are not addressed by primary health insurance.
The necessary information includes the student's full name, student ID number, date of birth, contact information, and a selection of the desired coverage plan.
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