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Instructions for completing enrollment card:
- Go to the American College Student
Association home page -
www.acsa.com
- Select Insurance and Other Plans
- Select Health Insurance
- Choose State
- Choose School
- Choose a Plan
New Members
(skip to step #12 if you are already a member)
- Click "Use our Online Application"
- Complete step one: "Your Premium"
- Sign-up for ACSA Membership
- Complete Personal Information & Sign-Up
- Go to step #17 - #20
Members
- Verify membership information
- Update personal information and return to steps #2 - #6
- Click "Use our Online Application"
- Complete step one: "Your Premium"
- Enter User Name & Password
- Display Form
- Print Enrollment Card
- Indicate coverage & payment plan
- Sign (signature required) & mail enrollment card to:
American College Student Association
P. O. Box 11693
Colombia, SC 29211
1-888-526-2272
OR:
You can contact: Al Ford Insurance Agency, Tennessee St. Florence, AL
35630.
Phone: 256-764-4691
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