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AT MENTION PARENTS AND GUARDIANS
Supplemental Student Accident Insurance is Now AvailableHealth Special Risk, Inc. is offering two options for
supplemental student accident insurance. Go to: www.K12StudentInsurance.com
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How to fill out supplemental student accident insurance

How to fill out supplemental student accident insurance
01
Obtain the supplemental student accident insurance form from the school or insurance provider.
02
Fill in all required personal information, including student's name, student ID number, and contact information.
03
Provide details of the accident or injury that occurred, including date, time, and location.
04
Include a description of the accident and the extent of the injuries sustained.
05
Attach any supporting documentation, such as medical reports or bills, if applicable.
06
Submit the completed form to the designated insurance representative for processing.
Who needs supplemental student accident insurance?
01
Students who participate in school sports or extracurricular activities
02
Students who have a higher risk of accidental injuries, such as those in science labs or vocational programs
03
Students who do not have existing medical insurance coverage or have limited coverage
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What is supplemental student accident insurance?
Supplemental student accident insurance provides additional coverage for medical expenses related to accidents that occur on campus or during school-sponsored activities.
Who is required to file supplemental student accident insurance?
Supplemental student accident insurance is typically required for all students enrolled in a school or university.
How to fill out supplemental student accident insurance?
Supplemental student accident insurance can usually be filled out by completing a form provided by the school or insurance provider.
What is the purpose of supplemental student accident insurance?
The purpose of supplemental student accident insurance is to help cover medical expenses and other costs related to accidents for students who may not be fully covered by their primary health insurance.
What information must be reported on supplemental student accident insurance?
Information that may be required on supplemental student accident insurance includes student's name, school ID, contact information, medical history, and emergency contact details.
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