Get the free Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form

This document is an enrollment form for international students at Suffolk University to apply for accident and sickness insurance for the summer sessions.

How to fill out suffolk university student accident

How to fill out Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form

1. Obtain the Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form from the university's website or student services office.
2. Fill in your personal information, including your name, date of birth, student ID number, and contact information.
3. Indicate your program of study and the duration of your coverage by selecting the appropriate options on the form.
4. Provide information about any prior health insurance you may have and whether you are opting out of the university plan.
5. Review the terms and conditions of the insurance plan and check the box to confirm your agreement.
6. Sign and date the form to validate your application.
7. Submit the completed form to the designated office, either in person or electronically as instructed.

Who needs Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

1. All full-time undergraduate and graduate students enrolled at Suffolk University are required to complete the Student Accident and Sickness Insurance Plan Enrollment Form.
2. International students who are not covered by another health insurance plan must fill out the form to secure health coverage.

For pdfFiller’s FAQs

What is Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

The Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form is a document that students must complete to enroll in the university's health insurance plan, which provides coverage for medical expenses resulting from accidents and illnesses.

Who is required to file Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

All full-time students at Suffolk University are generally required to file the Enrollment Form unless they can provide proof of equivalent health insurance coverage from another provider.

How to fill out Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

To fill out the Enrollment Form, students should access the form through the university's website, provide accurate personal and contact information, and submit any necessary documents such as proof of prior insurance if applicable.

What is the purpose of Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

The purpose of the Enrollment Form is to formally enroll students in the university's health insurance plan, ensuring they have access to medical care and financial coverage for health-related issues while attending the university.

What information must be reported on Suffolk University Student Accident and Sickness Insurance Plan Enrollment Form?

The Enrollment Form must include personal details such as the student's name, student ID number, date of birth, contact information, and any prior insurance details if applicable.