University of Colorado at BoulderStudent Health Plans
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Plan year: August 18, 2008–August 17, 2009

Student Gold Health Insurance Plan

Optional Supplemental Plan

$750,000 Maximum Lifetime Benefit

This optional benefit is subject to payment of an additional premium of $140 per year. Optional benefits may only be purchased at the time of initial enrollment in the Plan and may not be added later. The Optional Supplemental Benefit begins payment after the Basic Maximum Benefit of $250,000 has been paid by the Company. The Company will pay 100% for additional, incurred Covered Medical Expenses up to the Supplemental Plan Maximum of $750,000. The total benefit payable under Supplemental Plan is $1,000,000 minus the Basic Benefits already paid. The Supplemental Plan option will cover 100% of covered medical expenses in or out of network. For enrollment or more information go to www.aetnastudenthealth.com.

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