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Get Health Insurance Agreement Form - California State Polytechnic ... - Csupomona
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How to fill out the Health Insurance Agreement Form - California State Polytechnic University Pomona online
Filling out the Health Insurance Agreement Form is an essential step for international students at California State Polytechnic University Pomona. This guide will walk you through each section of the online form to ensure a smooth submission process.
Follow the steps to complete the Health Insurance Agreement Form effectively.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your full name in the designated field. Make sure to provide your legal name as it appears in official documents.
- Next, input your Bronco number in the corresponding section. This is your unique identification number assigned by the university.
- Review the statement that explains the requirement to purchase the university’s group health insurance policy. Acknowledge that this is necessary for your enrollment and ensure you understand the premiums for each quarter.
- Sign the form in the signature field. This confirms your agreement to the terms outlined in the document.
- Enter the date you are signing the form in the specified area. Ensure that this reflects the current date as the agreement is time-sensitive.
- Lastly, indicate which quarter you are applying to begin studies at Cal Poly Pomona in the provided field.
- Once all fields are complete and checked for accuracy, proceed to save your changes. You may also download the form, print it for your records, or share it as needed.
Complete your health insurance agreement form online to ensure your enrollment at Cal Poly Pomona.
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As of now, California does not impose penalties for individuals who do not have health insurance. However, it is strongly recommended to obtain coverage for health security. Students can easily access health insurance through the Health Insurance Agreement Form - California State Polytechnic ... - Csupomona, which ensures comprehensive healthcare access.
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