The Education-Training Student Accident Insurance program is a fully insured policy underwritten by Hartford Life and Accident Insurance Company (Hartford). This policy provides coverage for registered students in the named education/training courses on file with Hartford while the students are:
Coverage under this policy ends when the applicable course or program of study ends. The policy does not provide coverage for returning students who wish to take agility tests, recertification exams, etc., unless said students are enrolled in a course.
Accident Medical Benefit: Student must incur initial medical expenses within 26 weeks after an accident to receive coverage.
Accidental Death Benefit and Accidental Dismemberment Benefit: Loss of life or limb (per policy) must occur within 365 days after the date of the accident to receive coverage.
Seminole State College has no deductible.
The policy provides the following limits:
Please note: This policy provides excess coverage. Any other coverage available to a student would be primary.
Seminole State College must file a completed Accident-Incident Report (see note below) to the Consortium, indicating at the top of the form "Student Accident Claim-Hartford form sent directly to Fringe Benefit Coordinators."
Note: This form is a sample. An original Accident-Incident Report can be obtained by calling Safety & Security at:
Seminole State College must submit a completed Hartford Claim Form to Fringe Benefit Coordinators within 30 days of injury to comply with policy provisions. Please follow the instructions on page one of the attached claim form very carefully as to avoid delaying the processing of the claim. (Fringe Benefits handles the claims on behalf of Hartford.)
The student is responsible for submitting all related medical bills that he or she incurs as a result of the injury, as well as any other supporting documentation.
The injured student's Social Security number is now required on the claim form due to government regulations and requirements.
Completed forms and documentation should be mailed or faxed to:
Fringe Benefit Coordinators Inc.
P.O. Box 5249
Gainesville, FL 32627-5249
Toll-Free Number: 800.654.1452
Fax Number: 352.372.9805
For more information and additional forms, visit the Fringe Benefit Coordinators website.
Example of Claim
Student suffers a laceration requiring medical attention while participating in a clinical experience as part of his or her education or training coursework.
Seminole State College
100 Weldon Boulevard
Sanford, Florida 32773-6199