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Wissahickon S.D. |
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Student Accident Insurance
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Dear Parents and Guardians:
Each year the Wissahickon School District informs you of the availability of a low cost Student Accident Insurance Plan that provides hospitalization and medical benefits in the event your child is injured.
The United States Fire Insurance Company plan administered by AG Administrators and endorsed by the Pennsylvania School Boards Association Insurance Trust is available to Wissahickon School District students on a group basis. The rates for students are as follows:
School Time Hospital/Medical Plan $ 28.00 per child
24-Hour Hospital/Medical Plan $124.00 per child
Dental Plan in combination with $ 7.50 per child
Either School Time or 24-Hour Plan
Dental Plan only $ 14.00 per child
Coverage is effective on the date premium and AG Administrators has received signed applications.
Benefits of student accident policies differ somewhat from other insurance plans so please read the information provided carefully.
The District is advising you of the availability of this Plan as a courtesy. We urge you to review this Plan with your own insurance agent or advisor. If, after you have reviewed this matter with your personal insurance agent or advisor, you wish to purchase the United States Fire Insurance Company’s Medical Insurance Coverage, send the attached application envelope directly to AG Administrators.
All checks or money orders should be made payable to “United States Fire Insurance Company” and should indicate student’s name.
Parents enrolling more than one (1) child must complete a separate application form and send a separate check or money order for each child.
Applications must be mailed directly to AG Administrators as soon as possible if you wish coverage for your child.
NOTE: For Student Accident Coverage, complete the left portion of the envelope and check coverage desired.
If you have any questions, please feel free to contact your principal or nurse.
Cordially,
Wade Coleman
Business Administrator |
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Click here to download the student accident form.
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