>From: "NCS" <[EMAIL PROTECTED]> >Reply-To: "NCS" <[EMAIL PROTECTED]> >To: <[EMAIL PROTECTED]> >Subject: NCS STUDENT MEDICAL INSURANCE $325 PER YEAR >Date: Fri, 7 Jul 2000 15:29:02 -0400 >MIME-Version: 1.0 >Received: from [216.181.222.189] by hotmail.com (3.2) with ESMTP id >MHotMailBB2F7D8400A6D82197E0D8B5DEBD10180; Fri Jul 07 12:45:11 2000 >Received: from list (unverified [216.181.222.189]) by list.ncsus.com >(Rockliffe SMTPRA 4.2.4) with SMTP id <[EMAIL PROTECTED]> for ><[EMAIL PROTECTED]>; Fri, 7 Jul 2000 15:29:02 -0400 >From [EMAIL PROTECTED] Fri Jul 07 12:50:21 2000 >Message-ID: <003201bfe849$9b729e60$[EMAIL PROTECTED]> >Organization: NCS >X-Priority: 3 >X-MSMail-Priority: Normal >X-Mailer: Microsoft Outlook Express 5.00.2314.1300 >X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2314.1300 >Sender: [EMAIL PROTECTED] > > >************************************************************ > > > > NCS MEDICAL INSURANCE 2000 $325 ANNUAL PREMIUM > > > > (Application Forms Attached) > > > > Tel: 1-800-434-8187 Fax: 1-800-434-3439 > > Website: www.ncsus.com E-mail: [EMAIL PROTECTED] > > > >Please help distribute this mail to the local student net, > >website or your friends. > > > > > > TO: INTERNATIONAL STUDENTS AND SCHOLARS NATIONWIDE > > > > FROM: NCS CORPORATION > > ------------------------------------------------ > > > >After 7 years of excellent performance, NCS Medical Insurance Plan > >provides the best coverage for Chinese students and other > >international students nationwide. > > > >NCS Plan continues to provide the most competitive pricing: > > > >For students, the premiums are as low as: > > > >$325/12 month; $173/6 month; $89/3 month. > > > >NCS Medical Insurance Plan meets or exceeds virtually all major > >universities' requirement. > > > >Chinese students and scholars from Mainland China, Taiwan, Hong Kong; > >International students from Korea, India, Indonesia, Malaysia, Japan > >and other countries are generally eligible. > > > >Coverage up to $200,000 per sickness or injury. > >For the first $5,000, the Plan will cover 100%; > >between $5,000 to $50,000, the plan covers 80%; > >above $50,000, the plan covers 100%. > > > >For students who first go to health center on campus, the $50 deductible > >will be waived. > > > >Students who need immediate school registration, NCS will provide > >proof of insurance the same day you contact us at 1-800-434-8187. > > > >To enroll, you can use attached enrollment form > >or visit NCS website: www.ncsus.com > > > >You can also obtain detailed policy brochure by visiting NCS website > >www.ncsus.com or call NCS at 1-800-434-8187. > > > >II, NCS LONG DISTANCE TELEPHONE PROGRAM: > > > >NCS has a very special long distance telephone program: > > > >24 hours a day, 7 days a week, calling > > > >Mainland China $0.39/min > >Hong Kong $0.15/min > >Taiwan $0.21/min > >State-to-state in US $0.069/min > > > >South Korea $0.17/min > >Singapore $0.28/min > >Japan $0.15/min > >Philippines $0.39/min > >India $0.69/min > >Indonesia $0.55/min > >Thailand $0.50/min > > > >III. NCS Calling Card > > > >This is a calling card with no prepayment. Same rate as above. It > >is excellent for students who live in school dorms and can not switch > >their telephones. > > > >You provide a major credit card and the card will be charged at the > >end of each month according to your usage. A duplicate bill will be > >sent to you for your records. > > > >IV. NCS PREPAID CALLING CARD > > > >For those who wants to call Mainland China or Taiwan, NCS has a great > >Pre-paid Calling Card. Flat rate, no connection fee, no surcharges. > > > >To Mainland China $0.33/min > >To Taiwan $0.15/min > > > >Each card is $20.00 face value. > > > >For Telephone enrollment information, see attached form. > > > >To join any of the NCS Programs, please complete the > >application forms attached below and send to NCS today: > > > > > > NCS > > 5335 Wisconsin Ave., NW, Suite 720 > > Washington, DC 20015 > > > > Or Call NCS at (800) 434-8187 > > Or Visit NCS Website: www.ncsus.com > > Or Send E-mail: [EMAIL PROTECTED] > > > >ENROLLMANT FORMS > > > >I. MEDICAL PLAN > > > >********************************************************* > > > > NCS MEDICAL INSURANCE PROGRAM ENROLLMENT FORM > > > > > >Name (Last): ______(First): __________ Sex:[]M []F > > > >Married: []Y []N Tel(h):_____________ Fax(h):____________ > > > >Home Address:____________________________________________ > > > >City:_______________State:____Zip:________ > > > >Work Address:______________________________ > > > >City:_______________State:____Zip:________ > > > >Tel(o):______________ Fax(o):____________ > > > >Name (in Chinese):________________ Date of Birth:___/___/___ > > > >SS No.______________ Email:_________________________________ > > > >Country of Origin:________Arrival Date:________ > > > >Occupation (degree sought if student): [ ] BS, [ ] MS, > >[ ] Ph.D., [ ] PostDoc, [ ] Visiting Scholar, [ ] Professional, > >[ ] Other(specify)___________________________ > > > >Graduation Date: ________ Employer/School:__________________ > > > >Check applicable box(es) and add your total premium. > > > > 12 Mo. 6 Mo. 3 Mo. > > > >[ ]Student Group Rate Under Age 30 > > [ ]$325 [ ]$173 [ ]$89 > >[ ]Student Group Rate Age 30-39 > > [ ]$335 [ ]$177 [ ]$91 > >[ ]Insured Under Age of 40 > > [ ]$365 [ ]$185 [ ]$95 > >[ ]Insured Age 40-44 > > [ ]$550 [ ]$289 [ ]$152 > >[ ]Insured Age 45-54 > > [ ]$650 [ ]$337 [ ]$173 > >[ ]Scholar/Professional > > [ ]$850 [ ]$447 [ ]$235 > >[ ]Spouse > > [ ]$1,769 [ ]$899 [ ]$490 > >[ ]Each Child > > [ ]$565 [ ]$294 [ ]$155 > >------------------------------------------------ > >Total: $ $ $ > > > >STUDENT GROUP RATES APPLY TO FULL TIME STUDENTS ONLY. 2 VISA > >HOLDERS ARE NOT ELIGIBLE. > > > >If you are married or insuring dependent(s), the following > >information is needed in order to process your application: > > > > Name Date SSN Reltnship Living Enrolled > > of with as > > Birth You Dependent > > > > Yes/No Yes/No > > > >1.______________________________________________________________ > > > > > >2.______________________________________________________________ > > > > > >3.______________________________________________________________ > >I enroll as [ ] CSPA/PR; [ ]F-1, [ ]J-1, or [ ]H-1 visa > >holder; [ ]F-2,[ ]J-2, or[ ]H-4 visa holder with 6 or more > >credit hours. I want my insurance to begin on: ___/___/___. > > > >Signature:____________________ Date:___/___/___. > > > > > >********************************************************* > > > >II. > > > > NCS TELEPHONE SERVICE FORM > > > >Last Name:_________________ First Name: ________________ > > > >Address__________________________________________________ > > > >City __________________ State _____ Zip _________________ > > > >E-Mail___________________________ SS Number _______________ > > > >Telephone Number to be switched > > > >(1) ( ) ______-________________ > > > >(2) ( ) _______-_______________ > > > >(3) ( ) _______-_______________ > > > > Letter of Agency > > > >The undersigned hereby appoints NCS or its designee, the > >administrator of the National Chinese Service (NCS) Telephone > >Program, as my agent to act in my name and stead, for the explicit > >purpose of identifying and aggregating an inventory of all current > >and future telephone lines/numbers assigned to voice and data > >communication, at all locations that are under my control throughout > >the United States. Such appointments shall extend the identification > >and inventory privilege. Further, such inventory is to define each > >such location by street address, city, state, and zip code. In the > >interest of expediency, this agency agreement shall provide this > >agent the privilege of obtaining duplicate copies of current > >telephone bills containing such information and extend them the > >authority of selecting my Primary Long Distance Carrier to provide > >intralata, interlata, interstate, and international long distance > >services. > > > >Member Signature __________________ Date __________________ > > > >****************************************************************** > > > >III. NCS CALLING CARD > > > >Last Name:_________________ First Name: ________________ > > > >Address__________________________________________________ > > > >City __________________ State _____ Zip _________________ > > > >E-Mail___________________________ SS Number _______________ > > > >CONTACT PHONE ( ) _______-_____________ > > > >PLEASE CHARGE MY CALLS EACH MONTH TO MY CREDIT CARD: > > > >[ ]VISA, [ ]MC, [ ]AMEX > > > >CARD NUMBER________________________________ EXPIRATION DATE__________ > > > >******************************************************************* > > > >IV. NCS PREPAID CALLING CARD > > > >I also want to buy NCS prepaid calling dards. > > > >$20.00 face value, Mainland China $0.33/min > > or Taiwan $0.15/min. > > > >I enclose a check of $_________ > > > >Please send me __________ $20.00 prepaid calling cards. > > > >NAME_____________________________________ > > > >ADDRESS__________________________________________________________ > > > >******************************************************************** > > > >/END > > > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com
