Get the free Lehigh University Student Accident & Sickness Insurance Plan Enrollment Form

This document is an enrollment form for the Lehigh University Student Accident & Sickness Insurance Plan for the 2007-2008 academic year, allowing students to select insurance options and providing

How to fill out lehigh university student accident

How to fill out Lehigh University Student Accident & Sickness Insurance Plan Enrollment Form

1. Obtain the Lehigh University Student Accident & Sickness Insurance Plan Enrollment Form from the university website or student health services.
2. Fill in your personal information including your name, student ID number, and contact information in the designated sections.
3. Indicate your enrollment status (full-time or part-time) as required on the form.
4. Provide any required health history information, ensuring that you answer all questions accurately.
5. Review the coverage options and decide whether to enroll or waive the insurance.
6. If enrolling, indicate your choice and review the premium amounts listed.
7. Sign and date the form to verify that the information is accurate and complete.
8. Submit the form by the specified deadline, either electronically or to the designated office.

Who needs Lehigh University Student Accident & Sickness Insurance Plan Enrollment Form?

1. All enrolled students at Lehigh University who wish to have health insurance coverage under the Student Accident & Sickness Insurance Plan.
2. Students who do not have alternative health insurance and need coverage for medical expenses while studying.

For pdfFiller’s FAQs

What is Lehigh University Student Accident & Sickness Insurance Plan Enrollment Form?

The Lehigh University Student Accident & 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 due to accidents or illnesses.

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

All Lehigh University students who are not covered by an equivalent health insurance plan are required to file the enrollment form to ensure they have access to necessary medical services.

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

To fill out the form, students should provide their personal information, including name, student ID, contact details, and insurance choices. It's important to read instructions carefully and ensure all required fields are completed accurately.

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

The purpose of the form is to facilitate the enrollment of students in the university's student accident and sickness insurance plan, ensuring that they receive proper medical coverage while attending the university.

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

Students must report their full name, date of birth, student ID, contact information, and details about any existing health insurance coverage, as well as the options they choose for the university's insurance plan.