Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

All Students attending Eureka College you are required to purchase this plan unless proof of comparable coverage is furnished.

Begin the enrollment process by following the instructions below.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/15/16
• Spring/Summer Enrollment Deadline: 2/23/17 (New Incoming Students Only)

Enroll Now

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.  Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 9/15/16
• Spring/Summer Enrollment Deadline: 2/23/17 (Dependents of new Incoming students only)

Enroll by Mail

• Dependent ONLY – Enrollment Form Coming Soon!

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *September 15, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 23, 2017.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependent Enrollment Instructions
• Qualifying Life Event

Hard Waiver Student Eligibility

• Full-time Domestic Undergraduate students taking 12 or more credit hours
• International Students (Including an International Student enrolled in the Japanese Summer English Language program)

Are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Annual Enrollment Deadline: 8/25/16
• Spring/Summer Enrollment Deadline: 1/13/17

Enroll Now

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Dependents Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.

Deadlines:

• Annual Dependent Enrollment Deadline: 8/25/16
• Spring/Summer Dependent Enrollment Deadline: 1/13/17

Enroll by Mail

• Dependent ONLY – Enrollment Form Coming Soon!

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in.

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2015-2016 Enrollment Information

View your school’s BROCHURE

• Exchange Students
• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Voluntary Students
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Exchange Student

All first year exchange students are automatically enrolled in this insurance plan and do not need to complete the enrollment process below.

Hard Waiver Student Eligibility

• Full-time Undergraduate Students
• International Students including ELP (English as a Second Language Institute – ESLI)
• Exchange Students regardless of course load

Are automatically enrolled in this Insurance Plan at registration, unless proof of comparable coverage is furnished.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Deadline:  9/8/15
• Spring Deadline:  1/25/16

Enroll Now

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Voluntary Students

Eastern University no longer offers voluntary coverage.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.  Please see the Enrollment Instructions below.

Enroll by Mail

• Dependent Enrollment Form Coming Soon

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Fall Enrollment Deadline of *September 8, 2015, you or your dependents will not be eligible to enroll again until the start of the next Fall unless you experience a “Qualifying Life Event” during the year.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• International Students
• Hard Waiver Student Enrollment Instructions
• International Students
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• Full-time Domestic Undergraduate Student

Must enroll or waive the school-sponsored insurance plan each academic year.

It is important for you to make an informed health assessment each year. Make sure you are not left without appropriate health coverage – it could hinder your academic progress.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

International Students

Hard Waiver Student Enrollment Instructions

• If you do not enroll in or waive the student health insurance by 8/15/16 you may have a hold placed on your account.
• Students who do not respond by 9/1/16 will be automatically charged for the student health plan.
• The College reserves the right to make the final determination regarding eligibility for the initial and continued enrollment in this insurance plan.

Enrollment Deadlines:

• Annual Enrollment Deadline: 9/1/16
• Spring Enrollment Deadline: 1/31/17

Enroll Now

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact: Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075.

International Students

• International Students
• Visiting Scholars

Are automatically enrolled in the insurance plan at registration.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their eligible dependents. You must use an Enrollment Form to enroll them. Please See instructions below:

Deadlines:

• Annual Enrollment Deadline: 9/1/16
• Spring/Summer Enrollment Deadline: 1/31/17

 Please Note:  If you do not enroll your dependent by Annual Dependent Enrollment Deadline you will not be eligible to enroll your dependent until the following school year unless your dependent experiences a Qualifying Life Event.

Enroll by Mail

• Dependent ONLY – Enrollment Form

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact:

Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075

Open Enrollment Periods

IMPORTANT INFORMATION FOR ALL STUDENTS: Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Fall Enrollment Deadline of *September 1, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.  

*For new dependents or new students in the Spring semester, your open enrollment deadline is January 31, 2017.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075 for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s Brochure

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Hard Waiver Student Enrollment Instructions – Dependent Enrollment
• Voluntary Students
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• Full-time Domestic Undergraduate Students taking 12 or more credit hours
• Full-time International Student taking 12 or more credit hours

Are automatically enrolled in this insurance Plan at registration. Full time students are required to purchase this insurance plan unless proof of comparable coverage is furnished through the online hard waiver process.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/20/16
• Spring/Summer Enrollment Deadline: 2/12/17 (New Incoming Students Only)

 ENROLL NOW

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Hard Waiver Student Enrollment Instructions – Dependent Enrollment

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age who are not self-supporting.  Please see Dependent Enrollment Instructions below

Deadlines:

• Annual Enrollment Deadline: 9/20/16
• Spring/Summer Enrollment Deadline: 2/12/17 (For new incoming students only)

Enroll by Mail

• Enrollment Form – Coming Soon

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Voluntary Students

Delaware Valley University part-time students are not eligible for the insurance.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.  Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 9/20/16
• Spring/Summer Enrollment Deadline: 2/12/17 (Dependents of new Incoming students only)

Enroll by Mail

• Dependent ONLY – Enrollment Form

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *September 20, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 12, 2017.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 orCONTACT US

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• All full-time Undergraduate Students taking 12 or more credit hours
• All full-time Graduate Students taking 9 or more credit hours
• All Students in the Dietetic Internship Program
• All Students in the EOF Program
• All Full Time International students, regardless of the number of credit hours, are automatically enrolled in this insurance plan at registration

Are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• ANNUAL Enrollment Deadline: 10/1/16
• SPRING/SUMMER Enrollment Deadline: 2/13/17 (for new incoming students)

Enroll Now 

(NOTE: Enter your 10 digit STUDENT ID#, using the letter P as your first number, in the Student ID# Box to gain access. (example: P000055555)

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact us.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Dependent Enrollment

Eligible students who do enroll may also insure their dependents.   Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline:10/1/16
• Spring/Summer Enrollment Deadline:2/13/17 (For new incoming students only)

Enroll by Mail

• Dependent ONLY – Enrollment Form
  

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact us.

Open Enrollment Periods

If you are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *October 1, 2016, you will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

*For new students in the Spring semester, your open enrollment deadline is February 13, 2017. 

Qualifying Life Event

Students who did not enroll themselves during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Us for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• Cedar Crest College full-time traditional undergraduate student taking 12 credits or more
• SAGE residential students

Are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.

You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Annual Enrollment Deadline: 8/30/16
• Spring/Summer Enrollment Deadline: 2/15/17

 Enroll Now 

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.  Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 8/30/16
• Spring/Summer Enrollment Deadline: 2/15/17

Enroll by Mail

• Dependent ONLY – Enrollment Form

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075.

Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *August 30, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please Contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075 for cost and enrollment information as a Qualifying Life Event.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information

Coming Soon!

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2015-2016 Enrollment Information |   2016-2017 Enrollment Information

2016 – 2017 Enrollment Information

Coming Soon!

2015 – 2016 Enrollment Information

View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependents Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• Full-time students registered for and taking 12 or more credit hours

Are automatically enrolled in this insurance plan at registration, unless proof of comparable coverage is furnished. You can also enroll yourself now by clicking “Enroll Now” below to avoid receiving future reminders and begin using your plan.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines

• Annual Enrollment Deadline: 8/30/15
• Spring/Summer Enrollment Deadline: 2/26/16

Enroll Now

 
If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact: Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075.

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Dependents Enrollment Instructions

Insured Students may also enroll their eligible dependents. Please see instructions below:

• Annual Enrollment Deadline: 8/30/15
• Spring/Summer Enrollment Deadline: 2/26/16

Enroll by Mail

• Hard Waiver Student- Dependent ONLY – Enrollment Form

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in.

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact: Riggs, Counselman, Michaels & Downes, Inc. at (800) 346-4075

Open Enrollment Period

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Fall Enrollment Deadline of *August 30, 2015, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event. Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year. Please Contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075 for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy

Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in your school sponsored policy.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

2016-2017 Enrollment Information 

 View your school’s BROCHURE

• Hard Waiver Student Eligibility
• Hard Waiver Student Enrollment Instructions
• Dependent Enrollment Instructions
• Open Enrollment Periods
• Qualifying Life Event

Hard Waiver Student Eligibility

• Physician Assistant Students

Will have the premium charge applied to their billing statements. If you choose to waive the University health insurance plan, this charge will be removed from your bill within ten business days. If you choose to enroll in the University health insurance plan, this charge will remain on your bill.

Begin the enrollment process by following the instructions below.

Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Annual Enrollment Deadline: 6/15/16

Enroll Now

If you have missed the hard waiver enrollment deadline, but have not previously waived out of the insurance, you will be automatically enrolled in the insurance by your school, after the waiver deadline.

If you have previously waived out of the insurance but have since lost coverage due to a Qualifying Life Event please contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075

Please note: If you do not enroll for the year during the fall open enrollment period, you will not be able to enroll later during the 2016-2017 school year without experiencing a “Qualifying Life Event”. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event”. After thirty days, you will no longer be eligible.

Dependent Enrollment Instructions

Eligible students who do enroll may also insure their dependents. Eligible dependents are the student’s spouse and dependent children under 26 years of age.  Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 6/15/16

Enroll by Mail

• Dependent ONLY – Enrollment Form

To enroll by mail-download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the back of the Enrollment Forms.

The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in

If you did not enroll your dependent during the annual open enrollment period but your dependent has since lost coverage due to a Qualifying Life Event please contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075.

Open Enrollment Periods

Open Enrollment Periods for all Dependents and Students: If you have eligible dependents in the Fall or are a student in the Fall semester and eligible to purchase coverage and you choose not to enroll for coverage before the Annual Enrollment Deadline of *June 15, 2016, you or your dependents will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

Qualifying Life Event

Students who did not enroll themselves or their dependent(s) during the open enrollment period may be able to enroll in the policy if they experience a Qualifying Life Event.

Qualifying Life Events include:

• Acquiring a new family member
• Marriage/Civil Union
• Divorce
• Loss or change of Job
• Expiration of Benefits

If you and/or your dependents meet the requirements for a Qualifying Life Event, you will need to provide the following:

• Proof of qualifying life event/proof of involuntary loss of coverage
• Enrollment Form
• Payment

All documents and payment must be received within 30 days of the qualifying life event. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

Please contact Riggs, Counselman, Michaels & Downes, Inc. (800) 346-4075  for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US

We are always happy to help in any way.

Privacy Policy