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This document is a form for students to enroll themselves and their dependents in the Sarah Lawrence College Student Accident and Sickness Insurance Plan for the 2010-2011 academic year.

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 that allows students at Sarah Lawrence College to enroll in health insurance coverage for themselves and their dependents, ensuring access to necessary medical services.

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

Students who wish to enroll in the supplemental accident and sickness insurance plan, as well as those who want to add dependents to their coverage, are required to file 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 accurately complete all sections with personal and dependent information, provide health history where necessary, and submit the form to the designated office at Sarah Lawrence College by the specified deadline.

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

The purpose of this form is to facilitate health insurance enrollment for students and their eligible dependents, enabling them to receive health coverage that meets their medical needs.

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

Required information includes the student's personal details, dependent information if applicable, health history, and other relevant data necessary for enrollment in the insurance plan.