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This form is used for enrolling students and their dependents in the Sarah Lawrence College Student Accident and Sickness Insurance Plan for the 2011-2012 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 school website or student health office.
2. Read the instructions carefully to understand the required information and documentation.
3. Fill out your personal information, including your full name, student ID, and contact details.
4. Provide information about any dependents you wish to enroll, including their names and relationship to you.
5. Indicate whether you are opting for supplemental insurance coverage or only enrolling dependents.
6. Complete any additional sections that may require health details or prior insurance information.
7. Review the form for accuracy and completeness before signing.
8. Submit the form by the designated deadline either online or 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 want to add dependents to their health insurance plan.
2. Students who require supplemental health insurance coverage beyond the standard plan offered.
3. Any dependents of enrolled students who need to be covered under the student health insurance 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.