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2009-2010 Student Health Insurance Plan
Policy SummaryFind a DoctorClaim InstructionFAQ

3 ways to enroll

  1. Online Enrollment - (Receive instant confirmation)
    Click HERE to go to the insurance company's online enrollment form. The confirmation email will be sent right after your enrollment. You will also receive the insurance ID card via within a week. If you need a temporary ID card, click here.

  2. By mail
    Fill out this enrollment form and mail to the insurance company with your payment.
    The address is P.O. Box 2300, Santa Monica, CA 90407-2300

  3. By fax - (Your enrollment will be processed in one working day.).
    Fill out this enrollment form with your credit card information and fax it to the insurance company at 1-310-394-0142.

Check your enrollment status

To check your enrollment status or request for Proof of Purchase, contact...

  • Phone: Please call 1-800-537-1777 to speak to a representative.

Waiver Assistance

If you need assistance with your school's requirements, waiver form, the coverage details, or any other inquiries, please click here to submit a request.

Some school requires international students to submit a waiver form to get insurance fee refund from the tuition, here is what you need to do:

  • Visit your school's website to download Insurance Waiver Form.
  • In the form, fill out the student section and sign (if applicable)
  • Fax the form with your signature to 310-347-4479
  • We will verify your insurance effective period, sign the form, and fax it over to your school directly.



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