Student Accident & Sickness Insurance Plan

2011-2012 Enrollment

All full-time students are automatically enrolled in the Student Accident and Sickness Insurance Plan. The premium is charged only once per year and is not related to the mandatory Health Center Fee charged to all full-time students every semester. The premium is charged during the first semester of full-time enrollment for the academic year. This is the Fall semester for most students, including Fall off-campus-program participants.

Enrollment is automatic for all students, unless the required waiver request was completed and returned to Student Accounts by August 26, 2011. A bright green waiver request form was included with the brochure in the July billing. If you did not want the Student Accident and Sickness Insurance coverage, you had to return a completed waiver to Student Accounts or do an on-line waiver by August 26, 2011.

• Coverage extends for the entire 12-month period beginning 8/10/11 and continuing to 8/09/12 — 24 hours a day — at home, at school, or while traveling, including vacations.
• The cost for the 2011-2012 academic year is $450.

A Student Insurance Information Card is attached to the waiver card mailed to all students in July. If the student will be enrolled in the Student Insurance Plan, he/she should detach the card and carry it with them at all times. It provides information necessary for filing a claim. In the event that medical attention is required, this card should be presented to providers at the time services are rendered. Additional cards are available in Student Accounts.

For more information about coverage and exclusions, please refer to the brochure that was sent with your July bill or read the brochure online. 

Claim Procedure

1. If the only medical treatment rendered was from the Student Health Center, no claim form is required. Simply ask Student Accounts to submit that bill to the Student Insurance Plan. The student can do this by calling x6447 or by sending an e-mail to Beth Thorpe using your Denison email account. You should retain the itemized bill from the Student Health Center for your records.

   Please do not send these bills directly to Commercial Travelers Mutual Insurance Company. Student Health Center bills will be posted to your student account, as will any subsequent payments from the Student Insurance Plan.

2. If you require medical treatment from a provider outside the Student Health Center

   • Present your Student Insurance Information Card and ask that an itemized bill be sent to:
   Special Risk Claims
   Commercial Travelers Mutual Insurance Company
   70 Genesee Street
   Utica, New York 13502

• It is imperative that you also complete and submit a claim form.
  You may pick up a claim form in Student Accounts, or you may download a claim form [pdf]. For 2011-2012 claims, use Policy Number 2011-M3A97. (For 2010-2011 claims, use 2010-M3A97.)

Please refer to your Student Accident and Sickness Insurance Plan brochure or visit the Plan website for more information, including deadlines for filing a claim for benefits.