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Student Health Insurance Summary of Benefits Booklet for: Academic Year : 2010-2011 Administrator Policy Number: CHH0071171 Underwriter Reference Number: CAS9499785 (Policyholder) Student Health Insurance

How to fill out summary of benefits booklet

How to fill out summary of benefits booklet:

1. Start by carefully reading through the entire booklet to familiarize yourself with its contents and structure.
2. Pay attention to any instructions or guidelines provided. These may include specific sections that require your attention or specific information that needs to be included.
3. Begin filling out the booklet by providing your personal information, such as your name, date of birth, and contact details. Make sure to double-check the accuracy of this information.
4. Move on to the section that outlines the coverage details. Here, you will typically find information on the different types of benefits included, such as medical, dental, vision, or prescription drug coverage. Fill in the required information, such as coverage start and end dates, deductibles, copayments, and out-of-pocket maximums.
5. If the summary of benefits booklet includes a section for listing healthcare providers or preferred network facilities, provide the necessary details, such as names, addresses, and contact information.
6. If applicable, fill in the section that covers the process for filing claims. This may include instructions on where to send claims, the required documentation, and any deadlines to be aware of. Follow the instructions carefully to ensure smooth claims processing.
7. Finally, make sure to review the completed booklet for any errors or missing information. Proofread the entries to ensure accuracy and completeness.

Who needs summary of benefits booklet?

1. Job seekers: Individuals who are exploring job opportunities and evaluating the benefits packages offered by different employers can use the summary of benefits booklet to understand the healthcare coverage and other benefits provided.
2. Employees: Once hired, employees can refer to the summary of benefits booklet to understand their healthcare coverage, including the specific benefits, coverage limits, and any required copayments or deductibles.
3. Dependents: Family members and dependents of employees are typically covered under the same benefits plan. Having access to the summary of benefits booklet helps them understand the scope of their coverage and the services available to them.

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