Student Accident

This program provides coverage for all registered students of a private school and can include coverage for, Preschool, Kindergarten, Elementary, Junior and/or Senior High schools.

This accident only plan is available to private schools on a mandatory basis, to cover students while participating in all school sponsored and supervised activities on or off school premises, including participation in interscholastic athletics, including tackle football. Coverage is also provided during tryouts, preseason play, practice, regular and post season play.

The Gross Premium is due on or before the effective date. SMIC now accepts credit card payments.

Current accounts must use the enrollment forms sent with the renewal letters.

Alabama	Brochure	Application	Credit Card Form
Alaska	Brochure	Application	Credit Card Form
Arizona	Brochure	Application	Credit Card Form
Arkansas	Brochure	Application	Credit Card Form
California	Brochure	Application	Credit Card Form
Colorado	Brochure	Application	Credit Card Form
Connecticut	Brochure	Application	Credit Card Form
Delaware	Brochure	Application	Credit Card Form
District of Columbia	Brochure	Application	Credit Card Form
Florida (must have 51 or more lives)	Brochure	Application	Credit Card Form
Georgia	Brochure	Application	Credit Card Form
Hawaii	Brochure	Application	Credit Card Form
Idaho	Brochure	Application	Credit Card Form
Illinois	Brochure	Application	Credit Card Form
Indiana	Brochure	Application	Credit Card Form
Iowa	Brochure	Application	Credit Card Form
Kansas	Brochure	Application	Credit Card Form
Kentucky	Brochure	Application	Credit Card Form
Louisiana	Brochure	Application	Credit Card Form
Maine	Brochure	Application	Credit Card Form
Maryland	Brochure	Application	Credit Card Form
Massachusetts	Brochure	Application	Credit Card Form
Michigan	Brochure	Application	Credit Card Form
Minnesota	Brochure	Application	Credit Card Form
Mississippi	Brochure	Application	Credit Card Form
Missouri	Brochure	Application	Credit Card Form
Montana	Brochure	Application	Credit Card Form
Nebraska	Brochure	Application	Credit Card Form
Nevada	Brochure	Application	Credit Card Form
New Hampshire	Brochure	Application	Credit Card Form
New Jersey	Brochure	Application	Credit Card Form
New Mexico	Brochure	Application	Credit Card Form
New York	Brochure	Application	Credit Card Form
North Carolina	Brochure	Application	Credit Card Form
North Dakota	Brochure	Application	Credit Card Form
Ohio	Brochure	Application	Credit Card Form
Oklahoma	Brochure	Application	Credit Card Form
Oregon	Brochure	Application	Credit Card Form
Pennsylvania	Brochure	Application	Credit Card Form
Rhode Island	Brochure	Application	Credit Card Form
South Carolina	Brochure	Application	Credit Card Form
South Dakota	Brochure	Application	Credit Card Form
Tennessee	Brochure	Application	Credit Card Form
Texas	Brochure	Application	Credit Card Form
Utah	Brochure	Application	Credit Card Form
Vermont	Brochure	Application	Credit Card Form
Virginia	Brochure	Application	Credit Card Form
Washington	Brochure	Application	Credit Card Form
West Virginia	Brochure	Application	Credit Card Form
Wisconsin	Brochure	Application	Credit Card Form
Wyoming	Brochure	Application	Credit Card Form

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