Financial AidHEALTH INSURANCE WAIVER / ENROLLMENT FORM
All undergraduate students carrying twelve or more credits are required to have health insurance.
Use this form to enroll in the LBC Student Health Plan OR to prove coverage through a parent, spouse or employer.
ALL UNDERGRADUATE STUDENTS MUST COMPLETE THIS FORM EVERY YEAR EVEN IF THEIR INSURANCE INFORMATION HAS NOT CHANGED. Failure to submit this form will result in a charge for health insurance being added to your student account each semester.
CREDIT ON ACCOUNT REFUND REQUEST
Use this form to request a refund of a credit balance on your student account. Please be sure to fill in all information. Checks cannot be issued until all financial aid has been updated to your account.
AUTOMATIC PAYMENT PLAN ENROLLMENT FORM
Use this form to enroll in the monthly ACH automatic payment plan. If you need assistance calculating your monthly payment, contact Mrs. Phyllis Baughman at 717-560-8200 ext 5324. Be sure to:
- Fill in all information
- Sign and date the form as indicated
- Attach a check for the enrollment fee
- Print out one copy for your records
- Mail one copy to:
Lancaster Bible College
Attn: Business Office
PO Box 83403
Lancaster , PA 17608-3403Payments are automatically deducted from the account you indicate as follows:
- 12-month plan: May 2006 through April 2007
- 10-month plan: July 2006 through April 2007
- 5-month Fall Semester only plan: July 2006 through November 2006
- 5-month Spring Semester only plan: December 2006 through April 2007
FORM TO APPLY LBC PAYCHECKS TO STUDENT ACCOUNT
Use this form to apply any or all of your LBC paychecks to your student account. The check stub and and a receipt showing that the payment was applied to your student account will be sent to your student mailbox.
Use this form to notify the Business Office of a change in name or address. This information will be used to update your payroll and student account records.