Southern Methodist University
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
6211 Bishop Blvd #133
Dallas, TX 75205
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
Any person who knowingly and with intent to defraud an insurer submits a written application or claim containing any materially false or misleading information may be guilty of insurance fraud.
Frequently Asked Questions
What is my Policy Number?
Your policy number is A4A24, preceded by the year the current Fall term began. Example: For the 2019-2020 school year your policy number would be 2019A4A24.
Agency
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Address
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Academic Health Plans
Suite 200
3500 William D Tate Ave
Grapevine,
TX
76051
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Phone
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855-517-8460
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