Student Health Services

051 Student Union • (937) 775-2552

Claim Form

To file a claim:

  1. Obtain a claim form from Bollinger Insurance Solutions:

    1-866-267-0092

    Bollinger Insurance Solutions
    P.O. Box 727
    Short Hills, NJ 07078-0727

  2. Complete the form.

  3. Submit all claims, including itemized bills, to:

    Student Health Services
    051 Student Union
    Wright State University
    3640 Colonel Glenn Hwy.
    Dayton, OH 45435-0001

  4. Written proof of loss must be furnished within 90 days after the date of such loss.

View the Privacy Notice (PDF)

3640 Colonel Glenn Highway - Dayton, Ohio - 45435
Wright State University biplane logo
Copyright Information © 2010 | Accessibility Information
Last updated: Mon. Aug-30-10, 10:58
Please send comments to: webmaster@wright.edu