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Transaction Confirmation
Your waiver has been submi ed
Details of your waiver transac on are available below.
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77 South Bedford Street Burlington, MA 01803. Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in
the Commonwealth of Massachusetts. Massachusetts license number: 10041444. California license number: OB84599.
Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company and its applicable affiliated companies
(Aetna). Fully insured student health insurance plans are underwritten by Aetna Life Insurance Company.
Self insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company.
Student health insurance plans are underwri en by Aetna Life Insurance Company (Aetna). In
MD and NJ, student medical insurance is underwri en by Aetna Health and Life Insurance
Company (AHLIC). Self-insured plans are funded by the applicable school, with claims
administra on services provided by Aetna Life Insurance Company. Aetna Student HealthSM is
the brand name for products and services provided by Aetna Life Insurance Company, Aetna
Health and Life Insurance Company and their affiliated companies.
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https://students.aetnastudenthealth.com/waiver-confirmation.aspx?groupID=867849 1/2
8/26/2019 Waiver Application Confirmation:Aetna Student Health
https://students.aetnastudenthealth.com/waiver-confirmation.aspx?groupID=867849 2/2