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Explanation of Benefits
Please provide a copy of your student transcript and/or a letter from your school showing you have attended classes for the first thirty (30) days of enrollment.

To verify you meet the plan eligibility requirements, please provide a copy of your VISA with corresponding legal documents for our records.

The legal documents that are accepted but not limited to specifying your VISA are:
An I-20 form copy for F1 Visa holder;
A DS 2019 form copy for J1 Visa holder;
An EAD card copy for Optional Practical Training(OPT) status;


Drop & drop files here to upload or click here to select.
Accepted file types are .pdf,.doc,.docx,.jpg,.png