Dell Form

You will be covered under a group long term disability insurance policy (LTD) provided through your school. You will pay the mandatory premium for this coverage. Please enter the requested information below in order to facilitate payment of premium.

Your payment of $58 covers the policy period of 7/1/2018 through 6/30/2019.

For questions regarding this coverage or this page, please contact Susan Gelber via 800-214-7039, ext. 108 or via sgelber@insmedinsurance.com.

* This web page as well as the collection of information/premium merely serves as a method of premium transfer. Submission of information, including credit card/bank account information as well as the confirmation that the information was received, DOES NOT confirm or guarantee that insurance coverage is provided.