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International Insurance Enrollment Form

If you wish to purchase international travel insurance, please complete the International Insurance Enrollment Form below. For general questions/concerns regarding international insurance coverage and to arrange payment, please contact Kathy Lloyd at kglloyd@uncc.edu or 704-687-7748.

Date of Coverage

If you would like to pay by check or cash, deliver your payment to Kathy Lloyd, CHHS 213, kglloyd@uncc.edu, 704-687-7748.