Health Insurance for Foreign and Domestic Students and Scholars
800-747-8869 ..  .   Fax 641-472-7840
boverall@StudentBenefitsInternational.org

 

If you would like more information, mark the applicable boxes below and press the submit button.

REQUESTED MATERIALS & FREE INFORMATION

Voluntary foreign student enrollment brochures.
Amount Requested:

Voluntary domestic student enrollment brochures.
 Amount Requested:
Mandatory foreign student group plan.
Voluntary foreign student group plan.
Mandatory domestic student group plan.
Voluntary domestic student group plan.
Voluntary or mandatory foreign and domestic students on the same plan.
Athletic Insurance.

We are on a bid basis. ....... Contact Us: Month Year

 

CONTACT INFORMATION

Name and Title
(Dr., Dean, VP, Mr., Miss, etc.)
Institution
Address
City
State
Zip -
Phone - - ext
Email
Web Site
Desired Method of Contact
If you selected by telephone,
what is the best time to call

AM PM

 

SCHOOL CHARACTERISTICS
Approximate Number
of Students
Citizenship of Students
Requiring Insurance
Average Age of Students
Desired Monthly Premium
Insurance Type

 

Press the button below when you have filled out the form.

Student Benefits International
202 South 4th St
PO Box 161
Fairfield, IA 52556
(800) 747-8869
(641) 472-8573
FAX (641) 472-7840
 Email boverall@StudentBenefitsInternational.org