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This document is an enrollment form for students at Gordon College to apply for optional supplemental major medical coverage as part of their student accident and sickness insurance plan for the 2005-2006

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How to fill out GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM

1. Obtain the GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM from the college's health services or website.
2. Fill in your personal information including name, date of birth, and student ID number.
3. Indicate your current insurance coverage status, specifying if you are enrolling in the supplemental plan.
4. Provide contact information such as your address, phone number, and email.
5. Review any policy terms and conditions outlined on the form.
6. Sign and date the form to confirm accuracy and consent.
7. Submit the completed form to the designated office, either in person or as directed (e.g., via email or mail).

Who needs GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

1. All students at Gordon College who wish to enhance their medical coverage beyond the basic accident and sickness insurance plan should fill out this enrollment form.
2. International students who may require additional health insurance coverage while studying in the United States.
3. Students engaged in high-risk activities or sports that may not be fully covered under the basic plan.

For pdfFiller’s FAQs

What is GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

The Gordon College Student Accident and Sickness Insurance Plan Optional Supplemental Major Medical Coverage Enrollment Form is a document that students must complete to enroll in additional health insurance coverage beyond the standard plan offered by the college.

Who is required to file GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

Students seeking to obtain the optional supplemental major medical coverage are required to file this form to ensure they receive the additional health insurance benefits.

How to fill out GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

To fill out the enrollment form, students should provide personal information such as their name, student ID, contact details, and select the desired coverage options while ensuring that all information is accurate and complete.

What is the purpose of GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

The purpose of the enrollment form is to allow students to opt for enhanced medical coverage, ensuring they have adequate financial protection against health-related expenses incurred while attending college.

What information must be reported on GORDON COLLEGE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN OPTIONAL SUPPLEMENTAL MAJOR MEDICAL COVERAGE ENROLLMENT FORM?

The form must include information such as the student's full name, date of birth, student ID number, contact information, health insurance selection, and any other relevant personal and medical details as required by the enrollment process.