STUDENT TRAVEL ACCIDENT POLICY:
The Student Travel Accident Insurance Program is accident insurance automatically activated for students who must travel off-campus to meet the requirements proscribed by the University or a University Affiliate. It does not include foreign travel since it is primarily intended for academic field trips.
Coverage summary is as follows:
Coverage: |
Student Travel Accident Policy |
Policy Number: |
BAB 006311 |
Insurer: |
Life Insurance of North America |
Named Insured: |
Trustees of California State University, et al |
Covered Parties: |
Enrolled student, including students enrolled only in extended education programs of the California State University |
Medical Expense Benefit: |
Full Excess |
Medical Expense Limit: |
$10,000 Total Maximum Benefit Amount Per Covered Person, Per Covered Accident |
Medical Expense Deductable: |
$0 Per Covered Person, Per Covered Accident |
Hazard Insured Against: |
Injuries to the Insured (enrolled student) while: |
• away from Campus, or |
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• traveling to or from or participating in a school (University) sponsored activity |
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School Sponsored Activity: |
Travel or participation in activities away from campus which: |
1. is a part of a course requirement (i.e. academic field trip), or |
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2. is sponsored by a university auxiliary organization or other recognized student organization or club, or |
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3. includes travel to or from intercollegiate athletic events away from campus but does not include participation in such events or practices. |
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Claims Reporting: |
Report claims within 30 days after the covered loss occurs or begins or as soon as reasonably possible. [Click Here] to download the claim form. Complete the HSR claim reporting form and send the completed form directly to:
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Health Special Risk (HSR)
HSR Plaza, 4001 Medical Parkway
Carrollton, Texas 75007
Tel: 972-492-6474
Fax: 972-492-4946

