{"id":25684,"date":"2026-01-07T11:08:48","date_gmt":"2026-01-07T16:08:48","guid":{"rendered":"https:\/\/unifa-edu.info\/contenu\/?page_id=25684"},"modified":"2026-01-07T11:17:30","modified_gmt":"2026-01-07T16:17:30","slug":"transmission-du-formulaire-de-regularisation-de-la-prime-dassurance-medicale","status":"publish","type":"page","link":"https:\/\/unifa-edu.info\/contenu\/transmission-du-formulaire-de-regularisation-de-la-prime-dassurance-medicale\/","title":{"rendered":"Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale"},"content":{"rendered":"<p style=\"text-align: center;\">Universit\u00e9 de la Fondation Dr Aristide<\/p>\n<p style=\"text-align: right;\">05 Janvier 2026<\/p>\n<p style=\"text-align: justify;\">Objet : Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale<\/p>\n<p style=\"text-align: justify;\">Chers \u00e9tudiants (es),<\/p>\n<p style=\"text-align: justify;\">La Section Comptabilit\u00e9 &amp; Administration vous adresse ses meilleurs v\u0153ux au seuil de cette nouvelle ann\u00e9e.<\/p>\n<p style=\"text-align: justify;\">Dans le cadre de la mise \u00e0 jour obligatoire de nos dossiers administratifs relatifs \u00e0 la couverture m\u00e9dicale, nous vous informons qu\u2019un formulaire de v\u00e9rification et de r\u00e9gularisation de votre prime d\u2019assurance m\u00e9dicale vous est d\u00e9sormais transmis.<\/p>\n<p style=\"text-align: justify;\">Ce document a pour objectif de confirmer votre situation actuelle, de pr\u00e9ciser vos engagements de paiement et de garantir votre conformit\u00e9 aux r\u00e8glements en vigueur. \u00c0 cet effet, vous \u00eates pri\u00e9(e) de remplir avec exactitude l\u2019ensemble des informations demand\u00e9es, notamment celles relatives au paiement, aux dates pr\u00e9vues de r\u00e9gularisation ainsi qu\u2019\u00e0 votre reconnaissance du caract\u00e8re obligatoire de la prime d\u2019assurance m\u00e9dicale.<\/p>\n<p style=\"text-align: justify;\">Nous vous demandons de retourner le formulaire d\u00fbment compl\u00e9t\u00e9 dans les plus brefs d\u00e9lais, afin d\u2019\u00e9viter tout retard suppl\u00e9mentaire dans la mise \u00e0 jour de votre dossier.<\/p>\n<p style=\"text-align: justify;\">Vous remerciant de votre collaboration et comptant sur votre diligence,<br \/>\nVeuillez agr\u00e9er l\u2019expression de nos salutations distingu\u00e9es.<\/p>\n<p style=\"text-align: justify;\">Section Comptabilit\u00e9 &amp; Administration<\/p>\n<p>&nbsp;<\/p>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-25649\"><form id=\"wpforms-form-25649\" class=\"wpforms-validate wpforms-form\" data-formid=\"25649\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/contenu\/wp-json\/wp\/v2\/pages\/25684\" data-token=\"d90dbc7f72b38fe96ad7e4c0db0a3724\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-25649-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_11\">Nom et Prenom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-25649-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" placeholder=\"Prenom\" required><label for=\"wpforms-25649-field_11\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-25649-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" placeholder=\"Nom\" required><label for=\"wpforms-25649-field_11-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-25649-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_12\">Code etudiant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-25649-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-25649-field_1-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_1\">1.\tAvez-vous pay\u00e9 votre prime d\u2019assurance m\u00e9dicale ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25649-field_1\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_1_1\" name=\"wpforms[fields][1]\" value=\"OUI\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_1_1\">OUI<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_1_4\" name=\"wpforms[fields][1]\" value=\"NON\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_1_4\">NON<\/label><\/li><\/ul><\/div><div id=\"wpforms-25649-field_2-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_2\">2.\tSi oui, veuillez pr\u00e9ciser la date exacte \u00e0 laquelle le paiement a \u00e9t\u00e9 effectu\u00e9.<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-25649-field_2\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][2][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-25649-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_4\">3.\tSi le paiement n\u2019a pas encore \u00e9t\u00e9 r\u00e9alis\u00e9, indiquez sans d\u00e9lai la date \u00e0 laquelle vous comptez r\u00e9gulariser cette dette. <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-25649-field_4\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][4][date]\" required><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-25649-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_5\">4.\tPr\u00e9voyez-vous de r\u00e9gler la totalit\u00e9 du montant d\u00fb ou d\u2019effectuer des versements \u00e9chelonn\u00e9s ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25649-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_5_1\" name=\"wpforms[fields][5]\" value=\"Totalit\u00e9 du montant d\u00fb\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_5_1\">Totalit\u00e9 du montant d\u00fb<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_5_2\" name=\"wpforms[fields][5]\" value=\"Versements \u00e9chelonn\u00e9s\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_5_2\">Versements \u00e9chelonn\u00e9s<\/label><\/li><\/ul><\/div><div id=\"wpforms-25649-field_6-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_6\">5.\t\u00c0 quelle date souhaitez-vous entamer le versement de votre cotisation ? <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-25649-field_6\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][6][date]\" required><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-25649-field_7-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_7\">6.\tConfirmez-vous avoir pris connaissance du r\u00e8glement stipulant que la prime d\u2019assurance m\u00e9dicale est obligatoire ? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-25649-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_7_1\" name=\"wpforms[fields][7]\" value=\"OUI\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_7_1\">OUI<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-25649-field_7_2\" name=\"wpforms[fields][7]\" value=\"NON\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-25649-field_7_2\">NON<\/label><\/li><\/ul><div class=\"wpforms-field-description\">\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\nMerci<\/div><\/div><div id=\"wpforms-25649-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-25649-field_10\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-25649-field_10\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][10][first]\" required><label for=\"wpforms-25649-field_10\" class=\"wpforms-field-sublabel after \">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-25649-field_10-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][10][last]\" required><label for=\"wpforms-25649-field_10-last\" class=\"wpforms-field-sublabel after \">Nom<\/label><\/div><\/div><\/div><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"25649\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"3832\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-25649\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Envoi...\" data-submit-text=\"Submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Universit\u00e9 de la Fondation Dr Aristide 05 Janvier 2026 Objet : Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale Chers \u00e9tudiants (es), La Section Comptabilit\u00e9 &amp; Administration vous adresse ses meilleurs v\u0153ux au seuil de cette nouvelle ann\u00e9e. Dans le cadre de la mise \u00e0 jour obligatoire de nos dossiers administratifs relatifs \u00e0 lire &hellip; <a href=\"https:\/\/unifa-edu.info\/contenu\/transmission-du-formulaire-de-regularisation-de-la-prime-dassurance-medicale\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":3832,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-25684","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale - Universit\u00e9 de la Fondation Dr Aristide<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/unifa-edu.info\/contenu\/transmission-du-formulaire-de-regularisation-de-la-prime-dassurance-medicale\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale - Universit\u00e9 de la Fondation Dr Aristide\" \/>\n<meta property=\"og:description\" content=\"Universit\u00e9 de la Fondation Dr Aristide 05 Janvier 2026 Objet : Transmission du formulaire de r\u00e9gularisation de la prime d\u2019assurance m\u00e9dicale Chers \u00e9tudiants (es), La Section Comptabilit\u00e9 &amp; Administration vous adresse ses meilleurs v\u0153ux au seuil de cette nouvelle ann\u00e9e. 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