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* Institution
* Position/Title
* First Name
* Last Name
* Address
* City
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Student Accident Insurance:

Mandatory Plans
(purchased by the school)
Voluntary Plans
(purchased by the parents)
Catastrophic Insurance (provides coverage for serious injuries when the total medical expense exceeds $25,000)

Special Risk Coverage:

Sports Camps
Overnight Trips
Youth Groups
Pre-school Programs
Special Events

Study/Travel Abroad Coverage

Foreign Student Coverage

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