Complete the information below to finish the enrollment process for your student.
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Login
Login
Login
Login
If you are a returning customer, please login.
If you are a returning customer, please login.
If you are a returning customer, please login.
If you are a returning customer, please login.
If you are new to the system and do not have a login, PROCEED WITHOUT LOGIN and you will be asked to create an account at the end of the process.
If you are new to the system and do not have a login, PROCEED WITHOUT LOGIN and you will be asked to create an account at the end of the process.
If you are new to the system and do not have a login, PROCEED WITHOUT LOGIN and you will be asked to create an account at the end of the process.
If you are new to the system and do not have a login, PROCEED WITHOUT LOGIN and you will be asked to create an account at the end of the process.
* Please enter the student's Date Of Birth
* Please enter the student's Date Of Birth
* Please enter the student's Date Of Birth
* Please enter the student's Date Of Birth
* Is the student a middle or high school student studying on a J1 or F1 Visa?
* Is the student a middle or high school student studying on a J1 or F1 Visa?
* Is the student a middle or high school student studying on a J1 or F1 Visa?
* Is the student a middle or high school student studying on a J1 or F1 Visa?
* Please select their country of origin
* Please select their country of origin
* Please select their country of origin
* Please select their country of origin
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
* You must provide either the student's passport number or their J1/F1 Visa number
Create Your CAA Trust Account and Make Payment.
Create Your SHIP Account and Make Payment.
Please enter information for the individual making payment.
Create Your CAA Trust Account and Make Payment.
Create Your SHIP Account and Make Payment.
Please enter information for the individual making payment.
Create Your CAA Trust Account and Make Payment.
Create Your SHIP Account and Make Payment.
Please enter information for the individual making payment.
Create Your CAA Trust Account and Make Payment.
Create Your SHIP Account and Make Payment.
Please enter information for the individual making payment.
Unless otherwise stated in the Master Policy, coverage will be effective (if submitting via Online Services) the start of date of the coverage period. The student/visa holder is responsible for timely renewal payments.
By submitting this application, the student/visa holder or guardian acknowledges the following: 1). He/she has carefully read the brochure and elects to enroll as indicated on the application; 2). He/she declares they meet the eligibility requirements for the plan selected; 3). That if it is later determined that the student is not eligible, or upon entrance into the armed forces, the premium will be refunded. Premium will not be refunded except for ineligibility or entrance into the armed forces.
I have read and agree to the terms state above, I am at least 18 years of age, and I elect to purchase insurance coverage under this insurance plan. Above are the choices I have made.
* You must check the box above to proceed with your payment
Proceed with your payment, powered by Flywire
Thank You For Your Purchase!
Hilton Head Island, SC
29926
admin@cliffordallen.com
+1 (888)342-2224
Thank You For Your Purchase!
A confirmation email has been sent.
https://www.uhcsr.com/SelfServiceSupport/Students/myaccount/TieAccountIdentify.aspx
Hilton Head Island, SC 29926
customerservice@cliffordallen.com
+1(843) 342-3150
George Town, Grand Cayman KY1-1102
CAYMAN ISLANDS
info@shipsignup.com
+1(844) 232-7370
Thank You For Your Purchase!
A confirmation email has been sent.
https://www.uhcsr.com/SelfServiceSupport/Students/myaccount/TieAccountIdentify.aspx
Hilton Head Island, SC 29926
customerservice@cliffordallen.com
+1(843) 342-3150
George Town, Grand Cayman KY1-1102
CAYMAN ISLANDS
info@shipsignup.com
+1(844) 232-7370
Thank You For Your Purchase!
A confirmation email has been sent.
https://www.uhcsr.com/SelfServiceSupport/Students/myaccount/TieAccountIdentify.aspx
Hilton Head Island, SC 29926
customerservice@cliffordallen.com
+1(843) 342-3150
George Town, Grand Cayman KY1-1102
CAYMAN ISLANDS
info@shipsignup.com
+1(844) 232-7370