X hits on this document

31 views

0 shares

0 downloads

0 comments

3 / 10

INTRODUCTION

This brochure is a brief description of the Accident and Sickness Insurance Plan for students living in on-campus residence facilities and attending Northampton Community College. The exact provisions governing the insurance are contained in the Master Policy issued to the College. The Master Policy shall control in the event of any conflict between the Policy and this brochure.

Any provision of the Policy or the brochure which is in conflict with the statutes of the state in which the Policy is issued will be administered to conform with the requirements of such state statutes.

COVERAGE TERM

T h e i n s u r a n c e c o v e r a g e u n d e r N o r t h a m p t o n C o m m u n i t y C o l l e g e S t u d e n t A c c i d e n t a n d S i c k n e s s I n s u r a n c e P l a n i s e f f e c t i v e a t 1 2 : 0 1 a . m . o n A u g u s t 1 , 2 0 1 0 . T h e C o v e r a g e t e r m i n a t e s a t 1 2 : 0 1 a . m . o n A u g u s t 1 , 2 0 1 1 o r t h e e n d o f t h e p e r i o d t h r o u g h w h i c h t h e p r e m i u m s a r e p a i d .

ELIGIBILITY

All registered domestic students who are in on-campus attendance at Northampton Community College are eligible to purchase this insurance. The student must be enrolled in the NCC Domestic Policy for any eligible dependent to enroll in the Plan.

  • ON CAMPUS RESIDENTS - WAIVER

Students who are residing on-campus are required to have health insurance. Students residing in the on-campus residence facilities who have coverage under a comparable policy may waive enrollment in the Northampton Communicty College Student Accident and Sickness Insurance Plan by completing the online waiver information. Go to www.northampton.edu/studentinsurance and select the WAIVER link. You will receive a confirmation email once you have completed the waiver process. This must be done by July 15, 2010 for the Fall enrollment. Failure to complete the online waiver process by the deadline will place you in the plan and the premium will be placed on your tuition bill. Waivers submitted and accepted will be good for the entire school year. You will not have to repeat this process for the Spring.

F o r n e w s t u d e n t s e n t e r i n g t h e r e s i d e n c e f a c i l i t i e s i n t h e S p r i n g , a n o n l i n e w a i v e r m u s t b e c o m p l e t e d b y D e c e m b e r 1 5 , 2 0 1 0 , i n o r d e r f o r t h e N C C S t u d e n t A c c i d e n t a n d S i c k n e s s I n s u r a n c e P l a n t o b e w a i v e d . F a i l u r e t o c o m p l e t e t h e o n l i n e w a i v e r p r o c e s s b y t h e l i s t e d d e a d l i n e , w i l l p l a c e y o u i n t h e p l a n a n d t h e p r e m i u m w i l l b e p l a c e d o n y o u r t u i t i o n b i l l .

2 I t i s t h e s t u d e n t s r e s p o n s i b i l i t y t o c o n f i r m t h a t a n i n s u r a n c e w a i v e r c r e d i t i s o n y o u r t u i t i o n b i l l w i t h i n 2 w e e k s f r o m t h e d a t e y o u

completed the waiver. You must contact the Bursar’s office no later than 2 weeks from the waiver deadline if the credit has not been applied.

  • FOR COMMUTER STUDENTS

Students who are not residing in on-campus facilities may elect to enroll in the Northampton Community College Student Accident and Sickness Insurance Plan on a voluntary basis. Enrollment applications and the appropriate payment of premium must be received for Fall Enrollments by October 15, 2010, and February 14, 2011 for Spring Semester. Only new students entering the College will be eligible for enrollment in the Spring. Summer enrollment is available until June 10, 2011. Commuter students have the option to pay their premiums annually or by semester.

To enroll, go to the Northampton Community College website at www.northampton.edu/studentinsurance and click ENROLLMENT FORM. The enrollment application and all premiums must be sent to Collegiate Insurance Resources at 172 Bechtel Road, Collegeville, PA 19426. Check and/or money order should be made payable to BCS Insurance Company. You may also contact Collegiate Insurance Resources at 800-322-9901 for enrollment assistance.

  • DEPENDENT ENROLLMENT

Any domestic student that desires to have their eligible dependent enrolled in the Northampton Community College Student Accident and Sickness Insurance Plan must complete an enrollment form. The student must be enrolled in the Plan in order to enroll their eligible dependent(s). Enrollment Forms are available online at www.northampton.edu/studentinsurance or from Collegiate Insurance Resources.

Spring 1/1/11 - 8/1/11

Annual 8/1/10 - 8/1/11

$ 380

$ 654

$1,326

$2,283

$1,122

$1,931

Spring 1/1/11 - 8/1/11

Annual 8/1/10 - 8/1/11

$ 452

$ 778

$1,578

$2,717

$ 992

$1,708

COST OF INSURANCE

The cost of insurance is:Fall

8/1/10 - 1/1/11

Resident Students . . . .$274

Spouse

. . . . . . . . . . . . .$957

Child(ren)

. . . . . . . . . . .$809

Fall 8/1/10 - 1/1/11

Commuter Students . . .$ 326

Spouse

. . . . . . . . . . . . .$1,139

Child(ren)

. . . . . . . . . . .$ 716

3

Document info
Document views31
Page views31
Page last viewedThu Dec 08 04:24:57 UTC 2016
Pages10
Paragraphs327
Words15163

Comments