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Get Student Continuation Coverage Payment Receipt - Slu
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How to fill out the Student Continuation Coverage Payment Receipt - Slu online
This guide provides a detailed, step-by-step approach to completing the Student Continuation Coverage Payment Receipt - Slu online. Whether you are familiar with digital forms or new to this process, these instructions will help ensure a smooth submission.
Follow the steps to complete your payment receipt accurately.
- Click the ‘Get Form’ button to access the payment receipt form and open it for editing.
- Enter your Banner ID number in the designated field to identify your account.
- Fill in your name as it appears on your student records.
- Provide the date your regular coverage ends in the corresponding field.
- Indicate the start date for your continuation coverage.
- Enter the end date for your continuation coverage.
- Specify the total amount due based on your selected coverage type.
- Choose your method of payment from the provided options: Check or Credit Card.
- If paying by credit card, enter your credit card number, expiration date, and the name as shown on the card.
- Fill in the credit card billing address, including the city, state, and zip code.
- Review the agreement to pay the amount noted, then provide your signature and date.
- After completing the form, save your changes, download, print, or share the payment receipt as needed.
Complete your documents online with confidence and ensure your coverage continues smoothly.
A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period. There are 4 basic types of qualifying life events.
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