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Cross StreetIntermediate School

K-12 Student Accident Insurance Plans

To the Parents or Guardians of Students

We are once again offering you the opportunity to purchase Student Accident Insurance for your child. The enrollment form may be obtained from our agency website at Colonna Insurance or the insurance company's website at Commercial Travelers using the access code of 994A.
 
Please note that while the school has liability insurance, it covers injuries to pupils only if liability is proven against the school. The school does not pay for routine accidental injuries. The student accident insurance pays claims on a primary basis and covers accident injuries regardless of liability. The exclusions and limitations are explained in the brochure.
 

School-Time Plan (to-from-at-school)

  • Maximum accident medical Benefit $250,000
  • Maximum Dismemberment Benefit $10,000
  • Accidental Death Benefit $2,500

Premium All Grades - Per Pupil

  • Economy Plan $14
  • Superior Plan $20

24-Hour Coverage Plan

  • Maximum accident medical Benefit $250,000
  • Maximum Dismemberment Benefit $10,000
  • Accidental Death Benefit $2,500

Premium All Grades - Per Pupil

  • Economy Plan $68
  • Superior Plan $136

Extended Optional Dental Plan

  • Both Plans - All Grades
  • Premium - Per Pupil $8
If you should have any questions regarding this coverage, please do not hesitate to contact the program administrator, Colonna Insurance Services, LLC, as indicated on the enrollment brochure. The plans do not cover Interscholastic Sports as the Board of Education provides this coverage separately.

Choose from these school-approved plans...

  • Around-the-clock Plan
  • School time-only Plan
  • Extended Dental Plan

Online Access

  1. Plan Brochure & Enrollment Form available at Student Plans Center.
  2. Enter access code: 994A
  3. Click Submit
  4. Print Brochure & Enrollment form
  5. Complete and mail today!
  6. Contact Colonna Insurance to apply online with a credit card.
The Policy does not provide benefits for sickness
No coverage provided for injuries resulting from the practice or play of interscholastic sports.
 
Underwritten by:
Commercial Travelers Life Insurance Company
70 Genesee Street
Utica, NY 13502
As policy form Serious No. CTP-7 (CT) (Rev. 08) et al
 
Connecticut Representative:
Colonna Insurance Services, LLC
P.O. Box 4245
Hamden, CT 06514
OLF-CTSA (19) 4A