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home ̱б ̱б A ~ F
 
California College of the Arts ̱бCalifornia College of the Arts
Ȩ л, ȯ, ýĮ, Ʈ, ⱹϽô ݰ е ϽǼ ִ Դϴ.
Ͻø û ۼ ֽðų ̸ ֽø ˴ϴ.
ǽð Ͻø MSN ȭ ߰ ֽø ܱ ô Ǹ ϽǼ ֽϴ.

 

 

 

 California College of the Arts   ǥԴϴ

 

 

 

 

 

 

 

Insurance  Provider

 

б

DBغ

 

Lifetime Maximum

 

$50,000

Unlimited

 

Benefit

 

$50,000

 

$50,000 per Sickness or Injury

Deductible

 

δ

 

Student: $75

 

$0

 

Family:  $225

 

 

º̿/ȸδ

 

PPO:   80%

100%

 

º/ȸδ

 

NPPO:50%

100%

 

Annual Out-of-Pocket Maximum
( δϴ ݾ)

 

 

PPO $4,000 (º)

 

 

δݾ100%

 

NPPO $8,000

(º)

 

 

 

Prescription Drug

 

(పδ)

 

Up to $2,000 per year

ѵ

δ

Premium

(Annual)

 

Student: $1,792

 

 

  Student: $480

 

 

 

 

 

 

 

 

 

Health Insurance Waiver ?

 

  Ͻð Ǹ ݵ waiver ϼž б Ͻ ʽϴ.
 ࿡ waiver ǿ ս ˴ϴ


I wish to waive the CCA Health Insurance. I am covered by an alternate health insurance policy. My waiver for the Fall 2009 term will also apply to the Spring 2010 term unless I provide written notification* to the Student Accounts Office by the end of the second week of the Spring semester.
In order to waive the CCA Health Insurance Fee, this section must be completed on or before
9/11/2009 for a Fall 2009 term waiver and 1/22/2010 for a Spring 2010 term waiver.

 

 

 

    

 

 

 

 


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