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This document serves as a form for students to enroll in the supplemental and dependent insurance plan for Sarah Lawrence College for the academic year 2009-2010, detailing information required for

How to fill out sarah lawrence student accident

How to fill out SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM

1. Obtain the SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM from the provided source.
2. Read the instructions carefully to understand the requirements for filling out the form.
3. Provide your personal information accurately in the designated fields, including name, student ID, and contact details.
4. Fill out the sections related to dependent enrollment if applicable, ensuring all dependents are listed with accurate information.
5. Indicate any pre-existing conditions or relevant medical history as required by the form.
6. Review all entered information for accuracy and completeness.
7. Sign and date the form where indicated.
8. Submit the completed form via the specified method (e.g., online portal, email, or physical mail) to the appropriate office.

Who needs SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

1. Students enrolled at Sarah Lawrence College who wish to enroll in supplemental accident and sickness insurance.
2. Dependents of eligible students who require coverage under the insurance plan.
3. International students who may need additional health coverage.
4. Students who have opted out of their primary health insurance and need to enroll in the school's plan.

For pdfFiller’s FAQs

What is SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

The SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM is a document used by students to enroll in supplemental accident and sickness insurance coverage, as well as to add dependents to an existing insurance policy.

Who is required to file SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

Students who are required to have health insurance coverage, either due to college policies or personal reasons, must file the form. Additionally, students who wish to enroll their dependents in the insurance plan must also complete this form.

How to fill out SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

To fill out the form, students should provide their personal information, including name, student ID, and contact details. They must also indicate their insurance selection, specify any dependents they wish to enroll, and sign the form to confirm the accuracy of the information provided.

What is the purpose of SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

The purpose of the form is to facilitate the enrollment process for students seeking supplemental accident and sickness insurance, ensuring they and their dependents are adequately covered while attending Sarah Lawrence College.

What information must be reported on SARAH LAWRENCE STUDENT ACCIDENT AND SICKNESS INSURANCE PLAN SUPPLEMENTAL AND DEPENDENT ENROLLMENT FORM?

The form requires reporting of personal details such as the student's name, student ID, dates of birth, contact information, as well as information about any dependents including their names and relationships to the student.