APPLICATION FOR TUITION INSURANCE PROPOSAL

APPLICATION FOR TUITION INSURANCE PROPOSAL

  • Information About Your School

  • Applicable Tuition/Fees:

  • do not include financial aid
  • Number of Students:

  • Your Tuition Refund Practices:

  • Desired Coverages. The following causes of loss may be covered. Indicate a percentage of payment (from 0% to 100%):

  • Would you like to include tuition continuance coverage. This coverage allows for a student to have an approved claim paid for the death of a tuition payer or job loss of a tuition payer without having to withdraw from school. Without this endorsement a student has to withdraw from school for coverage to potentially apply.
  • *specimen of your current enrollment contract
  • Your Discharge and Withdrawal History (by Academic Year)- MONTHS LOST FOR ALL STUDENTS ENROLLED IN THE SCHOOL

  • Most Recent Completed School Year:

    do not use current school year if it is in progress
  • Second Most Recent Completed School Year:

  • Third Most Recent Completed School Year:

  • Person Completing Application: