Stetson University
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Retiree Medical Benefits Payment

Please fill in the name of the Stetson University retiree and the name of the insured if different from the retiree (e.g., spouse of retiree).

Once you have completed all the required information for the credit card payment and click Submit, you will be prompted to provide your payment information on the next screen. Once you click process transaction, you will receive payment confirmation.

Retiree Information

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Retiree's Address

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Insured Information

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Insured's Address

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Payment Information

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For assistance, contact Pat Moore at pmoore@stetson.edu or 386-822-7030.