Student Accident Insurance

Crooksville Schools has made arrangements with Dennis & Nelson Insurance Group, Inc. of Crooksville to provide student accident insurance for those wishing to purchase coverage again this year.

2020-21 Student Accident Insurance Program

2020-2021 Student Accident Insurance Plans

Accident Medical Claim Form

Guarantee Trust Life Insurance Company

HIPAA Authorization

Notice Concerning Coverage Limitations and Exclusions under the Ohio Life and Health

Insurance Guaranty Association Act

Notice of Grievance Procedures

 

Mail application to:

Dennis & Nelson Insurance Group
P. O. Box 29
Crooksville, OH 43731
Checks payable: Dennis & Nelson Insurance