Nyit Insurance Form
I understand that the coverage.
Nyit insurance form. I hereby request coverage under the group policy ies sponsored by the nyit college of osteopathic medicine. Nyitcom w student signature date agent benefit coordinator date i certify that i have and will maintain in force dental insurance which is equivalent or better than the student group plan s offered to me and have provided the name phone number. Information regarding the fall 2020 reopening of the new york campuses can be found at nyit edu reopening. The cost of the plan can cover tuition only or tuition college fee room nyit housing only and meal plan for the.
Waiver form group insurance program for medical students student e mail. Insurance agent and agency services 200 east gaines street tallahassee fl 32399 0318. The nyit college of osteopathic medicine sponsored health insurance plan is a ppo plan designed specifically for nyit college of osteopathic medicine students and their dependents spouse domestic partner and or children with an emphasis on wellness. Section c beneficiary designation complete this section only if you have life insurance.
Information regarding fall 2020 and the reopening of the new york campuses can be found at nyit edu reopening. If more than one beneficary please show how to allocate. Obtain medical withdrawal claim forms. When a student withdraws from the college or from a course he she must complete a withdrawal clearance form available at nyit edu registrar or in person at nyit enrollment services center tuition liability is based on the date of withdrawal determined and recorded on the withdrawal form.
For most students at new york institute of technology health insurance is required for students enrolled at the new york campuses. All admissions events and new student orientation are being held remotely. All admissions events are being held remotely. Fall classes at the long island and new york city campuses will begin on wednesday september 9.
Fall classes will begin on wednesday september 9. This requirement is consistent with many other schools in the new york metro area and is widely endorsed by new york tech s academic student and health services divisions. New york city and long island campus access policy updates can be found at nyit edu alerts. Insurance is only available for the new york campuses.
Students returning to campus must take a covid 19 diagnostic test and report results. Maintaining health insurance coverage is mandatory for all nyit college of osteopathic medicine students and all students must be covered by a domestic health insurance plan.