Colorado School of Mines

A Summary of Benefits (SBC) is available to Insureds or their covered Dependents, in paper form, without charge, upon request to the Plan Administrator: Commercial Travelers Life Insurance Company, 70 Genesee Street, Utica, NY 13502. Phone 1-800-756-3702.

 

Please note: If you are eligible for Medicare, the open enrollment period for the Medicare Prescription Drug program (Medicare Part D) begins October 15, 2019 and ends December 7, 2019. If you are currently eligible for Medicare or will become eligible after this enrollment period, please contact Commercial Travelers, the Plan Administrator for information on your current prescription drug coverage and review your options under Medicare’s prescription drug coverage at http://www.medicare.gov/part-d/ . This information can help you decide whether or not you want to join a Medicare drug plan.


School Address and Contact Information

1770 Elm Street, #207

Golden, CO 80401

Eligibility Requirements

You must be an active enrolled student at this school to be eligible for this plan. Only eligible students may enroll in the plan. See the student brochure for specific eligibility requirements. Eligibility is subject to verification by the plan administrator.

Fraud Statement

It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the department of regulatory agencies.

Frequently Asked Questions

How do I check the status of a claim?

If you have an account and haven’t already logged in: Log into the website using the username and password you selected when creating your account and then click on the claims button. If you haven’t created an account yet: Click on the Create Account button on the left hand side of the page. Enter all the information requested (please note: this information must match exactly what the school supplied for you on their eligibility list). If this information matches exactly you will have access to your claim information if there is any. If you get a message that says you don’t have access please call our Claims Call Center at 1-800-756-3702.

What are the Preventive Services covered under this plan?

Follow this link for an explanation of preventive care benefits https://www.healthcare.gov/coverage/preventive-care-benefits

What is my Policy Number?

Your policy number is A4A20, preceded by the year the current Fall term began. Example: For the 2019-2020 school year your policy number would be 2019A4A20.

Agency

Address Academic Health Plans
Suite 200
3500 William D Tate Ave
Grapevine, TX 76051
Phone 855-517-8460
© 2019 Commercial Travelers Life Insurance Company