STUDENT HEALTH INSURANCE

PREMIUMS
8/15/09 TO 8/15/10
8/15/09 TO 12/20/09
12/20/09 TO 4/30/10
4/30/10 TO 8/15/10
Installment Premiums
Students Only -
Under Age 35

$510.00

 
$179.00
Dependents (each)

$801.00

 
$280.00
Students Only -
Age 35 and Over

$718.00

 
$251.00
Dependents (each)

$1604.00
$561.00

*For students making three installments; the second installment will be billed and is due on 12-20-2009. The third installment will be billed and due on 04-30-2010. It is your responsibility to make timely premium payments regardless of whether or not you receive a premium notice. Eligibility requirements must be met each time a premium is paid to continue coverage.

1ST AGENCY RETURN POLICY: ALL SALES ARE FINAL.