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AMERICAN COLLEGIATE, LOS ANGELES
STUDENT HEALTH INSURANCE PLAN

You have received your medical ID card.  In order to receive future communication from the insurance carrier and/or University Health Plans as well as access to online eligibility and claims lookup, please complete the following:

PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

An asterisk (*) denotes a required field.

Detailed information about the plan, including co-pays, deductibles and provider network can also be found on the left hand side of this page.