Try contacting the owner of the form if you think this is a mistake.
This form is to be completed and signed by August 13, 2015, even if you do not have personal insurance coverage. It is your responsibility to notify the Coker College Student Accounts of any changes that occur to your policy. Loss of coverage must be reported to the office of Student Accounts.
*Please make sure you confirm or check with your healthcare insurance provider that your policy INCLUDES "acute episodic illness" such as ear infections, bronchitis, or sinusitis in the state of South Carolina. If your insurance does NOT cover this, it may be a very costly bill for you to be treated in South Carolina.
*Please note that the Medical Access Fee is not insurance. It is a basic agreement with a nearby provider of Health Care to include routine doctor visits. It should not be considered a form of Health Insurance.
The $200.00 Medical Access Fee ($100 each semester) will automatically be charged to your account. If you have medical insurance, the $200.00 can be waived by completing this form by August 13, 2015.
The Medical Insurance Premium for International students is mandatory and cannot be waived.