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Applications, Rates & Online Enrollment
Only member schools of ACSI are eligible for
coverage. The
Base Student Accident and Catastrophic Accident coverages are sold
separately. A completed application and the premium due for each plan is required in order to
bind coverage. Each application has the rates listed on them.
Click on the links below to
either print out the appropriate
application or apply online with a credit card. Please note that
Catastrophic Accident coverage is not available in New York.
Student
Accident Medical Application
To apply online with a credit card, please click
here.
Catastrophic
Accident Medical Application
(Catastrophic coverage not available in New York.)
To apply online with a credit card for All States except
Florida and New York, please click
here.
To apply online with a credit card for Florida, please
click
here.
(Catastrophic coverage not available in New York.)
If not applying online, the completed application(s) and premium(s) due are to be sent to the address shown
below.
ACSI Student Insurance
2615 Post Road
Stevens Point, WI 54481
For immediate coverage, the
completed signed application and a copy of the premium
check may also be faxed to ACSI Student Accident & Catastrophic Accident Insurance Program at (715)
344-6126.
