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Colleges & Universities Students & Participants Liability Programs
Accident and Sickness Insurance
Group Plans

To receive an Accident & Sickness insurance quotation for your organization please complete our Request for Quotation form at the link below:

Submit a Claims question

Mail completed forms to:
Summit America Insurance Services
PO Box 25936
Overland Park, KS 66225-5936

Or fax to:
913-327-0201

Accident & Sickness Insurance Request for Quotation Form (128K PDF)* • download now
For more information
on Group Plans, please contact
Krista Stanek
800-775-8089
* PDFs require Adobe Reader v.6.0 or later.
(Enterable PDF forms can be filled out electronically.
Data entered electronically CANNOT be saved.
To keep a copy, please print your completed form.)