Insurance Form

 

Luther College requires student-athletes to have insurance coverage under a current, in force insurance policy for injuries that occur during their participation in intercollegiate athletics. If there is a material change in coverage or expiration of coverage, I agree to notify Luther College of this development and update the insurance information I have on file with Luther College. I understand and agree that my primary insurance or myself will assume responsibility for the payment of, or authorization to pay, medical expenses resulting from injuries that occur while participating in intercollegiate athletics at Luther College. By electronically signing my name below, I have read and agree to comply with the provisions of the insurance requirements of Luther College.

Your luther.edu username will be recorded when you submit this form.

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