Student Insurance Claims

Students who require medical treatment for accidents/injuries that occur during their scheduled college hours must complete an Accident Report Form and return it to the Office of Student Affairs to file a claim with their student insurance. The forms may be obtained from their instructor or from the Office of Student Affairs. If possible, an Insurance Information for Accidental Injury Service Provider Form should be taken to the medical facility at the time of treatment. This form notifies the provider that an itemized statement is to be sent to the Office of Student Affairs. The Service Provider form may also be obtained from their instructor or the Office of Student Affairs. When an itemized statement from the medical facility is received by the Office of Student Affairs, a claim form is completed and mailed to the insurance company. It is the responsibility of the company to determine benefits to be paid.