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University of Maine at Fort Kent
Student Health Insurance Plan 2009-2010
POLICY: 2009J3A15
> Online Student Health Brochure
> Dependent Enrollment Form
> 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 on the UMFK campus 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 email, fax, or
in person by October 1, 2009. Proof of comparable coverage
for the Spring Term must be submitted by February 15, 2010.
Students who do not provide proof of comparable coverage
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 25 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 Spring Term
(which includes an administrative fee). Coverage for the Annual
Plan begins on September 1, 2009 or the date premium has been
received by the authorized agent and will expire on September 1,
2010. Coverage for the Spring Term begins on January 14, 2010
and will expire on September 1, 2010. Once enrolled, coverage
cannot be cancelled and premium is non-refundable.

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