Opportunity Program

MEDICAL INSURANCE INFORMATION FORM
2013 SUMMER ACADEMIC INSTITUTE

This form must be returned by June 14, 2013

 

Note - You need to be aware that if you are covered by another health insurance such as Medicaid or Child Health Pllus and are planning to select the Skdimore insurance, you will lose the government backed coverage.  Since the government coverage is usually better, you probably should not enroll in the Skdimore plan.  For additional information, call the Bursar's Office at (518) 580-5825.




EMERGENCY INFORMATION (Please provide 2 names at different addresses)

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