Student Group Insurance Plans

from InternationalStudentInsurance.com

Student Insurance

Specialty Plans

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Group Insurance Information

At InternationalStudentInsurance.com we pride ourselves on providing a range of insurance plans to fit your needs. Our group plans vary from small groups of 5 or more, or large groups of over 500 students - no matter what your needs, we can put a plan together for you.

Some groups we offer insurance to:

ESL Schools
Individual Group Trips abroad
Student Exchange Programs
Universities and Colleges
and much more

If you would like a free, no obligation group quotation please complete the form below with as much information as possible. Alternatively please email our group insurance specialist at rmason@internationalstudentinsurance.com.

Fields marked with an asterisk (*) are required.

Group/Organization Information
Organization Name
Address
City
State/ Province
Zip/ Postal Code
Country
Contact Name	*
Email	*
Phone	*

General Group Information
Total Group Size
Citizenship of Group
Approx. Age
Length of Coverage
Proposal Due Date
Type Of Plan	Single Coverage Period Monthly Rolling Coverage Annual Coverage Other, please specify:

Plan Details
Maximum Medical	$
Deductible
Coinsurance
Medical Evacuation
Repatriation
Other Benefits Required

Current Policy
Do you have a current insurance plan in place at the moment?	Yes No
If yes, please provide as much information as possible to the next questions, and if possible please email us copies of your current plan and any claims history. If No, please ignore the next questions or if you are unsure please ignore the next questions.
Who is your current insurance provider?
What is your current rate per month/ pre day?
Do you have any claims information for your group?

Other Information
Please add any other information that you feel would be helpful to us in designing a plan for your group.

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Student Group Insurance Plans

Group Insurance Information

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