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University of Maine at Fort Kent
Student Health Insurance Plan 2007-2008
POLICY: 2007J3A15
> Dependent Enrollment Form
> Online Student Health Brochure
> ID Card Request Form
> Printable Claim Form
> Claim Inquiry/Satisfaction Survey
> Domestic Partnership Form
> Major Medical Insurance/Short Term Insurance
> Dental Insurance
Many colleges and universities require that all students be covered
by an adequate insurance policy. UMFK requires that all students
verify that they have other adequate insurance coverage in order
to waive automatic enrollment in the UMFK sponsored Student
Accident and Sickness Insurance Plan. UMFK has worked with
Cross Insurance to offer the plan described in this brochure for
those students without their own coverage, or for those who would
like to supplement existing coverage. The plan provides benefits
for covered accidents and illnesses that occur on and off campus.
All registered undergraduate students taking 9 or more credit
hours are automatically enrolled in the University of Maine at
Fort Kent Student Accident and Sickness Insurance plan
unless proof of comparable medical insurance can be
provided and is approved by the University. You will automatically
be enrolled unless you waive coverage by providing
proof of comparable coverage via the Online Waiver Form at
www.crossagency.com/umfk. Click on the “Waive Insurance”
link and follow the instructions. Online Waiver Forms for the
Annual Plan cannot be accepted after October 1, 2007. Online
Waiver Forms for the Spring Term cannot be accepted after
February 15, 2008. Students who do not complete the Online
Waiver Form by these dates, will automatically be enrolled in
the Student Accident and Sickness Insurance Plan. In addition,
all international students will be automatically enrolled
regardless of other coverage.
Eligible students who are enrolled may also insure their eligible
dependents. Eligible dependents are the spouse/domestic partner
and unmarried children under 19 years of age, who are not self
supporting and reside with the insured student. Dependent eligibility
expires concurrently with that of the insured student, once
enrolled, dependent coverage cannot be cancelled and premium
is non-refundable.
The student cost of the Annual plan is $358, or $240 for Spring
Term. Coverage for the Annual Plan begins on September 1, 2007
or the date premium has been received by the authorized agent
and will expire on September 1, 2008. Coverage for the Spring
Term begins on January 14, 2008 and will expire on September 1,
2008. Once enrolled, coverage cannot be cancelled and premium
is non-refundable.

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