Intercollegiate Sports Coverage
1st Care Plan
Collegiate Sports Med STM
Preschool/K-12 Blanket Accident Coverage
Preschool/K-12 Voluntary Accident Coverage
Sport Camps / Special Risk Coverage
College Student Accident and Sickness Coverage
International Insurance (including Travel Coverage)
FREE Prescription, Dental, Vision Discount Plan
Short Term Medical Coverage
Claim Forms
College Student Accident and Sickness Claim
Intercollegiate Sports Claim: Submit Online
Intercollegiate Sports Claim: Download PDF
K-12 Blanket Claim
Voluntary Coverage Claim (All States except Minnesota)
Voluntary Coverage Claim (Minnesota)
Information Request Forms
College Sports
Student Health Insurance
K-12 Coverage
Sports Camps & Special Risk
Parent Information Form
Authorization Release Form
HIPAA Privacy Notice
Player Census Form
Submit Online
Download PDF
College Sports Information Request
Student Health Insurance Information Request
K-12 Coverage Information Request
Sports Camp / Special Risk Information Request
Intercollegiate Sports Claim Form
Submit Online
|
Download a .PDF File
K-12 Blanket Claim Form
Download a .PDF File
Voluntary Coverage Claim Form
(All states except Minnesota)
Download a .PDF File
Voluntary Coverage Claim Form
(Minnesota)
Download a .PDF File
College Student Accident and Sickness Claim Form
Download a .PDF File
Parent Information Form
Download a .PDF File
Authorization Release Form
Download in MS Word
|
Download a .PDF File
HIPAA Privacy Notice
Download in MS Word
|
Download a .PDF File
Player Census Form
Submit Online
|
Download in MS Word
|
Download a .PDF File