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2014 2015 STUDENT ACCIDENT ONLY INSURANCE PLAN FOR THE STUDENTS OF SOUTHEASTERN COLLEGE CL101 Underwritten by: Aegis Security Insurance Company 2407 Park Drive Harrisburg, Pennsylvania 17106 LIMITED
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How to fill out student accident only:

01
Fill in personal information: Start by providing your full name, date of birth, and contact information in the designated fields. This will ensure that the insurance company can easily identify the insured student.
02
Specify the accident details: Provide a detailed description of the accident, including the date, time, and location of the incident. Describe how the accident occurred and any contributing factors or parties involved.
03
Include witness information: If there were any witnesses to the accident, make sure to collect their names, contact information, and a brief statement detailing what they saw. This can be crucial for claims verification and investigation.
04
Provide medical information: Document any injuries sustained as a result of the accident. Include all relevant medical details, such as the names of healthcare providers who treated the student, the nature and extent of injuries, diagnostic tests performed, and treatments received.
05
Attach supporting documents: Gather and attach any supporting documentation related to the accident, such as medical reports, hospital bills, receipts for treatment or medication, and copies of police or incident reports. These documents will help substantiate your claim.

Who needs student accident only:

01
Students participating in extracurricular activities: Student accident insurance is particularly relevant for students engaged in extracurricular activities such as sports, clubs, or field trips. These activities often entail a higher risk of accidents or injuries.
02
Schools or educational institutions: Schools generally provide student accident only coverage to ensure that students are protected in case of unexpected accidents. Educational institutions may offer this insurance to all enrolled students or make it available as an optional purchase.
03
Parents or guardians: Parents or guardians of school-age children may opt to purchase student accident only insurance to provide an additional layer of protection for their child's well-being. This insurance can offer peace of mind by covering medical expenses and providing financial assistance in case of accidents.
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Student accident only is an insurance policy that provides coverage for accidents or injuries sustained by students while on school grounds or during school activities.
School administrators or staff members are typically required to file a student accident only insurance claim on behalf of the student.
To fill out a student accident only form, you will need to provide details of the accident, the student's personal information, medical treatment received, and any witnesses to the incident.
The purpose of student accident only insurance is to protect students and schools by providing coverage for medical expenses and liability in the event of an accident.
Information that must be reported on a student accident only claim includes the date and location of the accident, details of the injury, medical treatment received, and any witnesses.
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