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University of Maine at Presque Isle
Student Health Insurance Plan 2007-2008
POLICY: 2007J3A14
> Online Student Health Brochure
> ID Card Request
> Dependent Enrollment Form
> Printable Claim Form
> Domestic Partnership Form
> Claim Inquiry/Satisfaction Survey
> Major Medical Insurance/Short Term Insurance
> Dental Insurance
The University of Maine at Presque Isle Student Accident and
Sickness Insurance Plan has been developed especially for
University of Maine at Presque Isle students and their eligible
dependents. This Plan provides benefits for covered injuries and
sickness that occur on and off campus. The Plan is designed to
work with our University Health Center. It is important to know
about the Health Center services available to you. When at school,
your first medical resource should be the University health Center.
All registered undergraduate students taking 9 or more credit
hours are automatically enrolled in the University of Maine at
Presque Isle Student Accident and Sickness Insurance Plan
unless proof of comparable medical insurance can be provided
and is approved by the University. You will be automatically
enrolled unless you waive coverage by providing proof of
comparable coverage via the Online Waiver Form at
www.crossagency.com/umpi . Click on the “Waive Insurance”
link and follow the instructions. Online Waiver Forms for the
Annual Policy cannot be accepted after October 1, 2007.
Online Waiver Forms for 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. All international students will be automatically enrolled
in this Plan 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 $375 or $257 for the Spring
Term (which includes an administrative fee). Coverage for the
Annual Plan begins upon arrival for authorized school activities,
and will expire on September 1, 2008. Coverage for Spring Term
will begin on January 1, 2008 and will expire on September 1,
2008. Once enrolled, coverage cannot be cancelled and premium
is non-refundable.

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