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Page 1 of 2 PRESCRIPTION DRUG PRIOR AUTHORIZATION REQUEST FORM Plan/Medical Group Name: AppleCare Medical Group Plan/Medical Group Phone#: (800) 460-5051 Plan/Medical Group Fax#: (714) 676-0790 Instructions:

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How to fill out concordia sli form

How to fill out Concordia SLI:

01

Start by accessing the Concordia SLI form. You can find it on the Concordia University website or obtain a physical copy from the relevant office.

02

Begin filling out the form by entering your personal information such as your full name, student ID number, and contact details. Make sure all information provided is accurate and up-to-date.

03

Next, indicate your program of study and the academic year for which you are applying for SLI coverage. This information helps the university identify your status and ensure you receive the appropriate coverage.

04

You may be required to provide your health insurance policy information or indicate if you already have coverage through another plan. Follow the instructions on the form and provide the necessary details accordingly.

05

If you are applying for dependent coverage, make sure to include the required information for each dependent, such as their full names, dates of birth, and relationship to you. This step is optional and only applicable if you have dependents who need coverage.

06

Read through all the terms and conditions carefully before signing the form. By signing, you are acknowledging that you have understood and accepted the terms and conditions of the SLI coverage.

07

After completing the form, double-check all the provided information to ensure its accuracy. Any mistakes or incomplete fields should be rectified before submission.

08

Finally, submit the completed SLI form to the designated office or online portal according to the instructions provided by the university.

Who needs Concordia SLI:

01

All full-time undergraduate students registered at Concordia University are required to have SLI (Student Life and Health/Dental Insurance) coverage unless they provide proof of sufficient alternative coverage.

02

International students, including exchange students, are automatically enrolled in the Concordia SLI plan.

03

Part-time and graduate students may also be eligible for SLI coverage, depending on their program and individual circumstances.

Please note that this information may vary and it is essential to refer to the specific guidelines and requirements provided by Concordia University regarding SLI coverage.

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What is concordia sli?

Concordia SLI stands for Student Levy Information, it is a mandatory form required for institutions to report the student levy amount.

Who is required to file concordia sli?

Institutions collecting student levies are required to file concordia sli.

How to fill out concordia sli?

Concordia SLI can be filled out online through the designated portal provided by the institution.

What is the purpose of concordia sli?

The purpose of concordia sli is to ensure transparency and accountability in the management of student levies.

What information must be reported on concordia sli?

Concordia SLI requires reporting on the total amount of student levies collected, how the funds were spent, and any remaining balance.

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