| Graduating soon? Click Here for a Monthly Short Term Health Insurance Plan | ||
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Apply for the Student Select plan by Mail / Fax Below |
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| Get a FREE Rx Savings Plan only when you apply through this site. | ||
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| Student Health Insurance from Assurant Health Insurance Company is available in the states listed below. The applications and brochures can be downloaded or printed directly from the Internet using Adobe Acrobat Reader®. If you don't have Adobe Acrobat, you can download it by clicking HERE. | ||
| Click on the State you currently have residence in. The Application will open in a new window. Applications are State specific. If you plan on moving or traveling while you are covered, your student health insurance coverage will follow you throughout the United States. | ||
| Complete the application and either mail or fax the application with payment made payable to: Assurant Health. Your policy will be processed on the day we receive it by mail or fax. | ||
| Student Health Insurance is NOT available to those who reside in AND attend school in the following states: HI, ME, MA, MT, NH, NJ, NY, RI, VT. As an alternative plan, we offer temporary health insurance in MT, ME, NH and RI. These plans are available by clicking HERE. | |
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Get a FREE Rx Savings Plan |
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Simply apply for temporary health insurance through this site and we will send you a Free ConsumerBenefits Rx Savings Plan. NOTE: This offer is only available through this site and is not offered by, or administered by Assurant Health. If you apply by mail or fax, simply email us at: temp@consumerbenefits.net and include your name. We will confirm that your application has been received and send you your Free ConsumerBenefits Rx Savings Plan. Your email address will not be saved, sold our used for any reason. |
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Note: The following information is included with the application and brochure. If paying by Credit Card, you can fax the completed application to Long Term Consumer Care, Inc. at: (262) 523-1910. If paying by check or money order, you can mail the completed application along with payment to:
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| If you have any questions, need a quote or would like to receive the temporary health insurance application and brochure by fax or mail, please complete a request form or call toll free: (800) 544-9505 | |
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Your effective date of coverage will begin on the later of: 1) 12:01a.m. the day after your requested policy date; or 2) 12:01a.m. the day after the post mark date affixed by the U.S. Post office*, provided the following conditions are met. |
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