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

Plan Highlights Include

bullet$1,000,000 or $5,000,000 Maximum Benefits
 
bulletMedical Only or Catastrophic Cash Benefit Plans
 
bullet2-Year or 10-Year 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 Louisiana and Texas.  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.

Catastrophic coverage is also available for larger special risk accounts.  Please Contact Us for details and availability.

Alabama

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Calculation Worksheet Credit Card Form

Alaska

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Calculation Worksheet Credit Card Form

Arizona

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Calculation Worksheet Credit Card Form

Arkansas

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Calculation Worksheet Credit Card Form

California

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Calculation Worksheet Credit Card Form

Colorado

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Calculation Worksheet Credit Card Form

Connecticut

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Calculation Worksheet Credit Card Form

Delaware

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Calculation Worksheet Credit Card Form

District of Columbia

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Calculation Worksheet Credit Card Form

Florida

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Calculation Worksheet Credit Card Form

Georgia

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Calculation Worksheet Credit Card Form

Hawaii

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Calculation Worksheet Credit Card Form

Idaho

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Calculation Worksheet Credit Card Form

Illinois

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Calculation Worksheet Credit Card Form

Indiana

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Calculation Worksheet Credit Card Form

Iowa

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Calculation Worksheet Credit Card Form

Kansas

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Calculation Worksheet Credit Card Form

Kentucky

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Calculation Worksheet Credit Card Form

Louisiana

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Calculation Worksheet Credit Card Form

Maine

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Calculation Worksheet Credit Card Form

Maryland

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Calculation Worksheet Credit Card Form

Massachusetts

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Calculation Worksheet Credit Card Form

Michigan

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Calculation Worksheet Credit Card Form

Minnesota

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Calculation Worksheet Credit Card Form

Mississippi

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Calculation Worksheet Credit Card Form

Missouri

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Calculation Worksheet Credit Card Form

Montana

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Calculation Worksheet Credit Card Form

Nebraska

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Calculation Worksheet Credit Card Form

Nevada

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Calculation Worksheet Credit Card Form

New Hampshire

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Calculation Worksheet Credit Card Form

New Jersey

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Calculation Worksheet Credit Card Form

New Mexico

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Calculation Worksheet Credit Card Form

New York

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Calculation Worksheet Credit Card Form

North Carolina

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Calculation Worksheet Credit Card Form

North Dakota

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Calculation Worksheet Credit Card Form

Ohio

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Calculation Worksheet Credit Card Form

Oklahoma

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Oregon

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Calculation Worksheet Credit Card Form

Pennsylvania

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Calculation Worksheet Credit Card Form

Rhode Island

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Calculation Worksheet Credit Card Form

South Carolina

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Calculation Worksheet Credit Card Form

South Dakota

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Calculation Worksheet Credit Card Form

Tennessee

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Calculation Worksheet Credit Card Form

Texas

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Calculation Worksheet Credit Card Form

Utah

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Calculation Worksheet Credit Card Form

Vermont

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Calculation Worksheet Credit Card Form

Virginia

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Calculation Worksheet Credit Card Form

Washington

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Calculation Worksheet Credit Card Form

West Virginia

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Calculation Worksheet Credit Card Form

Wisconsin

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Calculation Worksheet Credit Card Form

Wyoming

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Calculation Worksheet Credit Card Form

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