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• Forms
• Facilities Management Use Only
• Facilities Management Claim Report
• Contact Us
• Travel Assistance Program (International SOS) Brown's Member number is: 11BSGC000031
• US State Department Travel Warnings

Forms and Links

Forms

Click to view and/or print the following:

2009 - 2010 Student Health Insurance Plan Description - Brochure which contains detailed informaiton on the 2009 - 2010 plan benefits, eligibility and other important informaion

2009 - 2010 Frequently Asked Questions - Provides answers to common questions about the 2009 - 2010 Student Health Insurance Plan

2009 - 2010 Dependent Enrollment Form

2009 - 2010 Leave of Absence Enrollment Form

2008 - 2009 Student Health Insurance Plan Description - Brochure which contains detailed information on the 2008 - 2009 plan benefits, eligibility and other important information

2008 - 2009 Frequently Asked Questions - Provides answers to common questions about the 2008 - 2009 Student Health Insurance Plan

Consolidated Health Plans Medical Claim Form (for claims after 8/15/07)

Express-Scripts Prescription Drug Claim Form (for claims after 8/15/07)

Links

Health Services - Provides a link to the Health Services website.

How To Access Plan Benefits - Provides information on referral requirements.

Leave of Absence - Provides information on eligibility and enrollment procedures for students who wish to continue insurance coverage while on an approved leave of absence.

Dependent Enrollment - Provides information on how insured students may enroll their eligible dependent(s) in the Student Health Insurance Plan.

Contact Information & Links - Provides a list of contacts for any question you may have about student health insurance pertaining to enrollment, eligibility, benefits, prescriptions, claims, and provider networks.