Heath Admin Fee & Insurance Online Submission

Dear New or Returning Students,

It is time to submit (or review and correct) your Health Insurance Information for the Spring 2015 semester.  If after review, the insurance policy  is found to be valid under the "3 out 4" rule, your Health Administration Fee for the that semester will be waived.  (Please Note this process can take up to 10 business days). This process is required of all students who are attending Bryan for SP-15 semester.  You will need your insurance card in order to complete the form.

This on-line form will ask you for a token. The Token is included the invitation email and any subsequent reminder emails . Also the token can be found on eStudent under ‘Grades’ and it is called Student ID. The token begins with an A.... and has  more digits that completes the number. You can use this ID to log-in and update your insurance information at any time.

You will be able to check the status of this process on your eStudent accounts under a document called “Student Insurance”.  If your insurance document on eStudent has been marked ‘rejected’ there are 2 explanations: 1) your insurance does not qualify for the waiver. or 2) the information submitted is either incomplete or  incorrect and the PolyClinic will contact you about this. Most of the time it is something simple, like a question left unanswered or policy numbers transposed. You can contact the clinic at 423-775-7150 if you have any questions about your account.

Please Note: Limit Coverage Plans (e.g. Kaiser Permanente's Urgent and Emergency Room coverage) ARE NOT accepted under the 3 out of 4 rule.

The Tokens are valid until: xx/xx/2015 00:00

Any insurance documents that continue to be marked ‘Incomplete’ or ‘Rejected’ will result in a $200 Health Administration charge on your billing account beginning with Jan 1, 2015

If you have any questions, please contact us at 423-775-7150 or via email This email address is being protected from spambots. You need JavaScript enabled to view it." data-cke-saved-' + path + '\'' + prefix + ':' + addy95460 + '\'>'+addy_text95460+'<\/a>'; //--> between the hour of 9am and 5pm M-F



Bryan PolyClinic


PS: This  online form will be available until xx/xx/2015 00:00am EDT - first day of classes.  If you miss this deadline, you will need to report IN PERSON to Bryan PolyClinic between 9:00am  to 4:00m EDT M-F.  The last day to enter insurance information in person will be xx/xx/2015 4:00 pm EDT.