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Student Injury

by dhaen last modified Nov 19, 2009 04:30 PM

2006-2007
Student Accident & Sickness Plan

  • A claim for medical services must be completed and returned to the insurance company within 120 days of the injury or first date of sickness.
  • Claim forms are available from your college's Student Services office.  Or here.
  • Complete the Claimant's portion of the form, present it to the doctor or hospital rendering the service for diagnosis and itemized statement, and attach all itemized doctor and hospital bills.
  • 2006 - 2007 Student Accident Insurance plan brochure.

Forward all completed claim forms to: 
Personal Insurance Administrators Inc.
P.O. Box 6040
Agoura Hills, CA 91376-6040

Toll Free: 1-800-468-4343
www.piaclaims.com

 

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