STUDENTSURE
Coverage Individual Group Claim Form Preferred Schools
Contact Us
Email:




Studentsure Health Plan

Please contact us using the form below, or print this page and fax it to (604) 685-4288. We will reply within 24 hours. If you prefer a response by fax, please advise us of your fax number.

*Last Name *First Name
*E-mail address
   
*Telephone number   Fax number
 
Additional Information

This form constitutes an application for insurance coverage only and does not guarantee coverage. We are not responsible for lost or misdirected applications.

Winram Insurance will e-mail or fax a quotation within 48 hours, including payment instructions. Payment must be received by Winram Insurance before insurance can be effected.

 Underwritten by The American Home Assurance Company, a wholly owned subsidiary of AIG. A brochure outlining the policy wording is available upon request. Benefits under this contract are subject to definitions, limitations and conditions as specified in the policy wording issued to the Policy Holder winram insurance

   
Coverage    |   Individual Application  |   Group Application    |   Claim Form   |   Preferred Schools   |   Links   |   Contact Us    |   Home Page

This site provides only a brief summary of coverage and conditions.
Please refer to your actual policy wordings or contact a Studentsure professional.
Studentsure is part of the Winram Insurance Limited family of insurance services.
Please feel free to contact us with any questions you might have | Privacy Policy

Phone: (604) 685-4288 E-mail:  info@winram.com