DIAN

Step 1. Quote

Please fill in English

When you enroll in the Five Points student health plan, you will automatically be enrolled as a member of the Allegra Association.

View Policy

Home Country

Destination Country

United States

Coverage Start

Coverage End

Your Age

Will you add spouse?

Yes No

How many child will you add?

Sponsor Organization (if applicable)?

How many school friends will you add? (except you)

Friend 1 Age

Will you add spouse?

Yes No

How many child will you add?

Friend 2 Age

Will you add spouse?

Yes No

How many child will you add?

Are any of the applicants currently pregnant or hospitalized?

Yes No

E-mail (This address is used for receiving insurance files, and also used for login)

Password