Catastrophic Accident

These Catastrophic Accident Medical Plans* are offered to individual parochial and private schools or groups of schools.

Plan Highlights Include

	$1,000,000 Maximum Benefit
	Allocated or Medical Only or Catastrophic Cash Benefit Plans*
	10-Year or Lifetime Benefit Periods

Provides peace of mind when students participate in higher risk activities, such as sports. Rates are per Student per Year!

*Not all coverage options available in all states. Please Contact Us for details and availability. Find your state below, then click on the form you wish to download.

If you wish to pay by credit card, click on the Credit Card form below and fax it and the completed and signed Calculation Worksheet to (715) 344-6126.

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

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