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NATIONWIDE
STUDENT HEALTH  INSURANCE
for  
FULL-TIME   COLLEGE   &  UNIVERSITY   STUDENTS

- PLEASE BOOKMARK THIS PAGE IN YOUR BROWSER 'FAVORITES' NOW -

The STUDENT SELECT™ Policy:  - is available to students under age 30 - is renewable 12 month coverage - provides nationwide coverage - lets you use any doctor or hospital - can be continued after college	APPLY OnLINE! ..or Get Quote (if you are seeking coverage that is to begin within the next 60 days)	*

or... Print STUDENT SELECT™ Application/Brochure

Don't have the FREE Acrobat Reader? You can right now!

*As one of the original participants in The BBB Reliability Program, we adhere to the ethical guidelines promoted by the Better Business Bureau. If you click on the BBB logo at the top of the page, it will take you to the Better Business Bureau's main site, where you can inspect their file on Champion Insurance.

NOTE: To be eligible for STUDENT SELECT™ coverage, you must be a full-time graduate student, or an undergraduate who is actively attending classes on a full-time basis, for the first 31 days of coverage. If you do not have 31 days remaining in your current semester/curriculum, click HERE to get information and/or apply for a temporary insurance policy to cover you between now and when your next full-time semester begins.

• Year 'round coverage that is renewable... even after college
  
• $1 million coverage ($100,000 maximum per illness/injury)
  
• Choice of four (4) deductibles
  
• Use any Doctor or Hospital (Student Select is not an HMO or PPO)
  
• Coverage provided anywhere in the USA or in Canada
  
• Once past the first 31 days of coverage, you may continue the policy even if you are no longer in school
  
• Coverage Travels with You, Even if You Transfer Schools
  
• NOTE: Student Select™ is only available to full-time college students who are under the age of 30 when a policy begins.
                It does not offer coverage for a student's dependents.

"Student Select™" is an individual health insurance policy designed exclusively for full-time students (including international students as well as graduate and post-graduate students) attending classes on-campus at U.S. Colleges and Universities. It balances coverage and cost, providing peace of mind while fitting within the collegian's budget. YOU select the deductible to obtain the premium that meets your need.

To be eligible for this coverage, you must only be a "full-time student" on the day coverage begins. For purposes of this policy, you are "full-time" if you are taking nine (9) credit hours or considered "full-time" by your school (i.e., most Graduate dissertation students). You must be a "full-time student" on the day coverage begins) and continue to be a "full-time student" for at least the first 31 days that a policy is in effect (if there are not 31 days remaining in your current semester, you may be able to consider a temporary policy until the next semester when you will resume full-time classes on campus).

Coverage is fully "portable", and may be renewed up to age 62, as long as you live in a state where the policy has been approved for issue.

If you prefer not to purchase this coverage over the internet, you can print a copy of the brochure, application and rate chart for Student Select™ right now (you must have the Acrobat Reader on your computer in order to view/print these forms... if you do not have the FREE Acrobat Reader, you can download it right now!)

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1. Select the state where you live from the window below (if your state isn't listed, then Student Select™ is not available
    in the state where you live... you can use either your 'home' state, or your 'school' state as the "state where you live")

2. Print out the brochure application

3. Complete the application (if you need help calculating the premium, call the number provided on the application)

4. If paying the premium by VISA, MasterCard or Discover card, fax the completed application to:

5. If paying the premium by check/money order, please make your check payable to "TIME INSURANCE CO." (premium
          must accompany your application) and mail to:

                 CHAMPION INSURANCE - PO Box 1050 - Bel Air MD 21014-7050

If you are currently in school and full-time, coverage can begin as early as the day after your application is faxed or mailed (mailed applications must have a legible post office cancellation mark on the envelope)

Information Request Form (this is NOT an application for insurance):
(return to top of page)

Use this form (please fill in ALL the blanks) to request rates via this Web page (your personal information will be kept confidential and will NOT be used for any other purpose), or... send e-mail inquiry to: .

NOTE: While Student Select™ policies provide coverage throughout the USA and Canada, they cannot be issued to students who reside in any of the following states:

NAME... first-middle-last.. your FULL name:

E-MAIL ADDRESS... essential:

GENDER: Male Female       DATE OF BIRTH: mm/dd/yy

CITIZEN OF:

RESIDENT MAILING ADDRESS... where you live

COLLEGE INFORMATION... name of school plus
city, state and ZIP CODE of campus where you are a full-time student:

DATE YOU WOULD
LIKE COVERAGE TO BEGIN: mm/dd/yy

STUDENT STATUS: -blank- Grad Student Senior Junior Sophomore Freshman

PRESENT INSURANCE COVERAGE:     none group individual cobra

SPACE FOR BRIEF REMARKS: (use e-mail for more than 5 lines of text)

Go back to CHAMPION INSURANCE HOME PAGE

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