ICS Health Insurance Program
Home
About
Certificates
Forms
Rates
Enroll
Cancel
Claim
FAQs
Contact

How To Enroll:

  • Enroll On Line: Use the new Secure Enrollment in real time, it's easy and fast!

    Alternately, you may use Unencrypted Enrollment if you wish.

    Also, you may still use the old Online Enrollment, which will forward your completed online enrollment to the insurance company by email.
  • Enroll by Mail: Download appropriate [Enrollment Form] and mail completed Enrollment Form together with required premium to:
Insurance for Students, Inc.
P. O. Box 24845
Ft. Lauderdale, FL 33307-4845

  • Enroll by Fax: Fax completed Enrollment Form including Credit Card Payment Authorization to:
Insurance for Students, Inc.
1-954-772-0872 (fax)

  • Enroll by Email: Download and complete a [Text Version] of Enrollment Form (see Sample), paste the completed enrollment form into email text (Do Not submit file attachments), and email to:
enroll@icsweb.org [or] enroll@icsnet.org
This email account is designated exclusively for submitting completed applications.

All other email messages (requests, inquiries, questions, etc.) should be sent to:
info@icsweb.org [or] info@icsnet.org


Please contact the Insurance Company directly with related inquiries
(status of your application, ID card/receipt, etc.):
1-800-356-1235
(English, Mon-Fri, 8:00-5:00 EDT)