Evangelical Lutheran Church of America

Home Page


Welcome to the Home Page of the

Evangelical Lutheran Church in America Seminary Student
Health Insurance Plan

This student health insurance plan has been designed by Collegiate Insurance Resources to meet the unique needs of Evangelical Lutheran Church in America Seminary and its student body.

Special Notice to Seminarians (PDF file, 24 kb)

Searching for a PPO Provider?
Go HERE for help and enter AMA411 when asked for Access Code or Group ID

Plan Description & Forms

Plan Booklet

bullet Plan Booklet - 2007/2008 (Adobe PDF file, 76 kb)

On Line Enrollment Process

bulletComplete the 2007-2008 Plan Year Enrollment Process Here

Enrollment Forms
(for reference or mail-in enrollment)

bullet Enrollment Form - 2007/2008 (Adobe PDF file, 46 kb)

bulletID Card - 2007/2008 (Adobe PDF file, 26 kb)

Claims Forms

bulletClaims Form (Adobe PDF file)

bullet Info on "How to get a claim paid?" (Word file)

bulletWalgreen's Prescription Reimbursement Form

These forms are offered in an Adobe PDF file format . . . which requires an Adobe Acrobat Reader.

Adobe AcrobatGet a "free" Adobe Acrobat Reader at:
http://www.adobe.com/products/acrobat/readstep2.html

 

Contact SRG


bulletELCA Seminarian guide from the ELCA Board of Pensions
bulletInsurance Company/Claims Administration Contacts
bulletContacting CIR (Health Plan Program Representative)

 
Specialty Risk Group is now USI Collegiate Insurance Resources - New Name. Same great service, same great people
ELCA Seminary Student Health Insurance Home Page Contacting CIRPrivacy Policy