Lefebvre Insurance LLC of Wrentham, MA will administer the Voluntary (optional) Student Accident Insurance program again this year. For the 2022-2023 school year, the insurance program will be underwritten by the Gerber Life Insurance Company. The PDF file attached below contains the insurance brochure, enrollment form, completion instructions and a claim form. Parents and guardians can enroll either on-line, or by printing the enrollment form, completing it, and mailing it and the premium check to Gerber Life Insurance's national processing office.
Please remember that this voluntary insurance program is optional. Enrollment of your student in the program is not necessary.
 NH 2023-24 voluntary enrollment flyer.pdf | [ ] | 493 kB |
| NH 2023-24 Voluntary Student Insurance.pdf | [ ] | 267 kB |
| SAU 19 Goffstown 2023-24 Student Insurance policy.pdf | [ ] | 318 kB |
| SAU 19 Goffstown claim form.pdf | [ ] | 560 kB |