Student Health Insurance Information for Students of

Maricopa Community Colleges

Brochures, applications, ID cards, and claim forms are available to download in PDF Format. You must have Acrobat Reader to view documents. If you do not have Adobe Acrobat reader, click on the icon below to install.


Select a plan below to view the on-line brochure.

Please note that on-line brochures provide a brief description of benefits under the school's plan of insurance. Coverage is governed by a policy or certificate that contains all provisions, exclusions and qualifications of insurance benefits, some of which may not be included in the brochure.

See your school's insurance coordinator to review a copy of the certificate or policy. Individual certificates are not issued.

Domestic Student Health Insurance

Claim Forms

To submit a claim, please print and complete the claim form below and send to:

Personal Insurance Administrators                                                                    
PO Box 6040
Agoura Hills, CA 91376-6040

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