Student Accident and Illness Plan
- A claim for medical services must be completed and returned to the insurance company within 120 days of the injury or first date of illness.
- Claim forms are available from the SMCC Student Enrollment Services (SES) office.
- Complete the claimant’s portion of the form, present it to the doctor or hospital rendering service for diagnosis and itemized statement, and attach all itemized doctor and hospital bills.
- Student Accident Insurance plan brochure.
Forward all completed claim forms to:
Personal Insurance Administrators Inc.
P.O. Box 6040
Agoura Hills, CA 91376-6040
Toll Free: 1.800.468.4343