HTH - Group Enrollment Acceptance Agreement

Boston College

This plan is designed for and open to study abroad participants enrolled at Boston College.

I hereby certify that as the proposed participant, I will be attending a study abroad program in the current or immediately upcoming term. I further certify that I am not a citizen of my destination country or countries and that I am actively engaged in international education activities in the current or immediately upcoming academic term. Further, I understand that a participant whose coverage under this policy lapses shall be subject to all policy exclusions as of any subsequent effective date and I understand that the Company will pay benefits for Pre-Existing Conditions.

Verification of visa and academic enrollment documentation may be required at the time of claim submission.