Stevens Institute of Technology

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

1 Castle Point on Hudson

Hoboken, NJ 07030

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 includes any false or misleading information on an application or statement of claim for an insurance policy is subject to criminal and civil penalties.

Frequently Asked Questions

What is my Policy Number?

Your policy number is D5A05, preceded by the year the current Fall term began. Example: For the 2019-2020 school year your policy number would be 2019D5A05.

Agency

Address University Health Plans
15 Pacella Park Drive
Suite 130
Randolph, MA 02368
Phone 800-437-6448
Contact Name Tien Lam
Contact Email tien@univhealthplans.com
© 2019 Commercial Travelers Life Insurance Company