5071 WEST H AVENUE | KALAMAZOO, MI 49009 | 269.381.6630
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Products
College Athletes: 1st Care Plan
College Student Accident and Sickness Coverage
College Student Personal Property & Liability Renters Insurance
Intercollegiate Sports Coverage
International Insurance (including Travel Coverage)
Preschool/K-12 Blanket Accident Coverage
Preschool/K-12 Voluntary Accident Coverage
Short Term Medical Care & Individual or Family Health Plans
Sport Camps / Special Risk Coverage
Forms
Authorization Release Form
Submit Online
Download PDF
Claim Forms
Intercollegiate Sports Claim: Submit Online
Intercollegiate Sports Claim: Download PDF
K-12 Claim Forms
Voluntary Coverage Claim (All States except Minnesota)
Voluntary Coverage Claim (Minnesota)
HIPAA Privacy Notice
Information Request Forms for College/K-12 Administrators
College Sports
Student Health Insurance
K-12 Coverage
Sports Camps & Special Risk
Parent Information Form
Guarantee Trust Parent Information Form
Berkley Parent Information Form
Player Census Form
Submit Online
Download PDF
About Us
Contact Us
College Parents and Students
1st Agency offers college students a variety of insurance plans and types of coverage. Click a program below to learn more:
1st Care Plan
College Student Accident and Sickness
International Insurance including Travel Coverage
Short Term Medical
Downloadable forms:
Authorization Form
HIPAA Privacy Notice
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