Student Injury & Sickness
Insurance Plan


FAQS

Q: What is the policy number?
A: CIN204E

Q: What is the effective date?
A: June 1, 2008 for Master of Arts and Teaching students and August 1, 2008 for all other students.

Q:What is the policy expiration date?
A: August 1, 2009

Q: How do I know if I am eligible to take the Student Accident & Sickness Insurance?
A: If you are taking 12 or more credit hours you are eligible for the plan. Only 6 credit hours needed for Super Seniors.

Q: Can I get the insurance to cover my spouse and/or children?
A:No

Q: What does this insurance cover?
A: Injury and Sickness subject to the terms and conditions of the plan.

Q: Does this policy pay all medical bills in full?
A: In most cases it will not.

Q: Can I go to any doctor?
A: Yes. But discounts are available by using a First Health provider. You can find a First Health provider on the web at www.bollingerinsurance.com/earlham

Q: Where do I get a claim form?
A: On the website www.bollingerinsurance.com/earlham

Q: How do I file a claim?
A: Complete the claim form and send it to Bollinger. Send bills and Explanation of Benefits (EOB) from other carriers as soon as possible.

Q: Does this policy cover me for my annual physicals?
A: No

Q: Is there a deductible on this policy?
A: No

Q: With this insurance must I go to the University Health Center first?
A: No

Q: How do I get an I.D. card?
A: A claim form can be cut out from the brochure or you can print one on the website.

Q: What is the policy’s maximum benefit?
A: $1,000 Basic Medical Expense and $3,500 Major Medical Expense.

Q: What do you pay for doctor’s visits?
A: Sickness: $30 for first visit and $15 thereafter (4 visit maximum for Outpatient).
Injury: Usual and Customary payments

Q: If I have a specific question about coverage who can I call?
A: You can call Bollinger Inc. at 1- 800-526-1379 and ask to be connected to the College Department, or you can e-mail Jane Farrell.

 
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Plan Underwritten by:
Monumental Life Insurance Company
an AEGON company
Cedar Rapids, Iowa 52499

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