Get the free Student Accident & Sickness Insurance Enrollment Form

This document is an enrollment form for student accident and sickness insurance provided by Columbian Life Insurance Company for students at Dominican University for the 2009-2010 academic year.

How to fill out student accident sickness insurance

How to fill out Student Accident & Sickness Insurance Enrollment Form

1. Obtain the Student Accident & Sickness Insurance Enrollment Form from your school or insurance provider.
2. Fill in your personal details: name, date of birth, student ID, and contact information.
3. Provide information about your school and program, including the start date and duration of your studies.
4. Indicate if you have existing health insurance coverage; if yes, provide the details.
5. Choose the type of coverage you wish to enroll in (accident, sickness, or both).
6. Review the terms and conditions of the insurance policy.
7. Sign and date the form to certify that the information provided is accurate.
8. Submit the completed form to the designated office at your school or the insurance provider.

Who needs Student Accident & Sickness Insurance Enrollment Form?

1. Students participating in academic programs who want coverage for unexpected medical expenses due to accidents or illnesses.
2. International students who may not have local health insurance.
3. Students requiring additional coverage beyond their existing health insurance plan.

People Also Ask about

Is student accident insurance worth the cost?

Student accident insurance can be beneficial for various individuals in different situations: Students Living Away from Home: Those studying in a different city or country may benefit from accident insurance that covers medical expenses, particularly if they're away from their family's health insurance coverage.

How do I fill out a health insurance claim form?

Typical sections of a claim form: Personal information like your name, address and date of birth. Insurance information such as a policy and group number. Reason for your visit including background information about your condition. Provider information including the doctor's name and address.

Is an accident insurance plan worth it?

Accidents can be costly expenditures, and not everyone has a rainy-day fund ready for use. Accident insurance is worth it if you are looking for extra financial support when an unexpected event happens. Certain individuals may especially benefit from getting supplemental accident insurance.

Is it worth getting a personal accident cover?

Do I need personal accident cover? Personal accident cover isn't mandatory, however it can provide peace of mind knowing you and potentially your family are covered in case of serious injury or death. It will usually come at an extra cost to your car insurance premiums.

What are the disadvantages of accident insurance?

If your insurance company doesn't specifically identify your injury, you won't receive a benefit. Accident insurance typically does not cover suicide, accidents arising out of illegal activities, self-inflicted injuries, etc. So, if you were drinking while you got injured, it's very possible your claim would be denied.

Do I need student accident insurance?

Accident and catastrophic coverages are relatively inexpensive but can save families potentially tens of thousands of dollars they would otherwise pay out in medical expenses and may protect a school from lawsuits when students are injured at a school-sponsored activity or on campus.

For pdfFiller’s FAQs

What is Student Accident & Sickness Insurance Enrollment Form?

The Student Accident & Sickness Insurance Enrollment Form is a document used by students to enroll in a specific insurance plan that provides coverage for accidents and illnesses.

Who is required to file Student Accident & Sickness Insurance Enrollment Form?

Typically, all students who wish to obtain or maintain coverage under the student accident and sickness insurance plan are required to file this form.

How to fill out Student Accident & Sickness Insurance Enrollment Form?

To fill out the form, students need to provide their personal information, select the type of coverage they require, and submit any required documentation along with the form to the designated office.

What is the purpose of Student Accident & Sickness Insurance Enrollment Form?

The purpose of the form is to ensure students are enrolled in the appropriate insurance coverage that can help pay for medical expenses arising from accidents or health issues during their time at school.

What information must be reported on Student Accident & Sickness Insurance Enrollment Form?

The form typically requires information such as the student's full name, date of birth, student ID number, contact information, and details regarding the selected insurance coverage options.