   

 









|

- Information for Filing Claims
- Claim Status (provides full access to your
personal claim records). Students can register and will be assigned a User ID and
password.
|
|
| |
|
| |
|
Claim Forms
|
Download and Print |
|
|
|
- Health Insurance
- Prescription Drug Claim Form (Plan 2 Only)
- Script
Care, Ltd Mail Order Form (Plan 1 Only)
|
|
|
|
|
|
E-mail Address (to Health Insurance Claim Department) |
|
claims@summitamerica-ins.com
|
If you can't
open the PDF you will need 
Home
Page / Important Information / How
to Apply / Medical Plan
1 / Medical Plan 2
Vision Option / Dental
Option / Monthly Premiums / Online
Enrollment Form / Enrollment Form Administrative Forms / Brochures / Claim Information and Forms / Insurance Policies
PPO Networks / Privacy
Policy
©2011 SOMA College Health Insurance Plan. All Rights Reserved.
Designed & Hosted by StarHost
Revised and Updated by MMIC, Inc |