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Claim Filing Information

Claim forms are required for the first claim of each school year and all accident claims. Obtain claim forms from the student insurance office located in Bishop Wellness Center. Students seeing a provider outside the Bishop Wellness Center must obtain a referral from Health Services. Our office can assist the student in filing a claim.

Coverage information to give a provider for billing school insurance is provided below.

2007-2008 Insurance Carrier
Fairmont Specialty
Claims Sent To
Summit America Insurance Services LC
Billing Address
7400 College Blvd. Suite 120
Overland Park, KS 66210
Group Number
US 026665-07B0424
Coverage Dates
August 15, 2007 through August 15, 2008
Insured ID
Student ID number
Insurance Phone Number
1-800-926-3441
Insurance Fax Number
1-913-327-7520
Insurance Email
EIIA@summitamerica-ins.com