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.
Full-time Registered Undergraduate Domestic Student (taking 12 or more credit hours)
Are automatically enrolled in this Insurance Plan at registration and the premium for coverage is added to their tuition bill unless proof of comparable coverage is furnished.
Begin the enrollment process by following the instructions below.
Hard Waiver Student Enrollment Instructions
Enrollment Deadlines:
Annual Enrollment Deadline: 8/15/15
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 2015-2016 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: 8/15/15
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 *August 15, 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 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
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
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
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
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
All full-time domestic Undergraduate students taking 3 Units (12 or more credit hours) and all full-time domestic Graduate students taking 9 or more credit hours, are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.
All undergraduate international students, all graduate international students, exchange students, Study abroad students, ESL (English as a Second Language) students and visiting scholars, regardless of credit hours are automatically enrolled in this insurance Plan at registration, unless proof of comparable coverage is furnished.
Begin the enrollment process by following the instructions below.
Hard Waiver Student Enrollment Instructions
Enrollment Deadlines:
Annual Enrollment Deadline: 9/9/16
Spring/Summer Enrollment Deadline: 2/9/17 (For new incoming students only)
Begin the enrollment process by following the instructions below.
All Full Time Domestic Undergrad and Full Time Domestic Graduate Students
All eligible full-time students will be automatically charged for the Student Injury and Sickness Insurance Plan. If you fail to complete an online waiver by the published deadline you will be automatically enrolled.
International, Exchange, ESL, American Studies and Visiting faculty/Scholars
To complete the enrollment process, please contact the Office of Student Accounts, Green Hall,
Room 119, (609) 771-2172.
Dependent Enrollment Instructions
Your school does not offer dependent coverage on your plan.
Open Enrollment Periods
Open Enrollment Periods for all students: 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 *September 14, 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 2, 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 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
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.
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
Your school does not offer dependent enrollment with your plan.
Open Enrollment Periods
Open Enrollment Periods for all Students: 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 *August 15, 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.
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 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.
UnitedHealthcare Global: Global Emergency Services:
Travel Assistance is included in Cooper Medical School of Rowan University’s Student Injury and Sickness Plan. If you did not enroll in your school’s plan you may still enroll only for the Travel Assistance Program.
If you have any questions about the enrollment process, please call 800-505-4160 or CONTACT US
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.
The following students are automatically enrolled in this insurance at registration:
International Students (taking 6 or more credits)
Graduate Assistants (taking 6 or more credits)
Doctoral Teaching Assistants (taking 6 or more credits)
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: 9/15/15
Spring/Summer Enrollment Deadline: 1/15/16 (New Incoming Students Only)
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.
The effective date of your coverage will be the period start date for the coverage period you enrolled.
If you are now looking to enroll in the Student Injury & Sickness plan please contact the Director of Student Services at 251-626-3303 ext 7147.
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. Please see the Enrollment Instructions below.
Deadlines:
Annual Enrollment Deadline: 9/15/15
Spring/Summer Enrollment Deadline: 1/15/16
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 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, 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.
*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is January 15, 2016.
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
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.
All international students (F-1, J-1 and Optional Practical Training) are required to enroll in this insurance Plan at registration, unless proof of comparable coverage is furnished.
Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age.
U.S. citizens are not eligible for coverage as a student or a Dependent.
Begin the enrollment process by following the instructions below.
F1 & J1 Student/Dependent Enrollment Instructions
Annual/Fall Enrollment Deadline: 9/16/16 – CLOSED
*Spring Enrollment Deadline: 2/3/17
*Spring/Summer Enrollment Deadline: 2/3/17
*Summer Enrollment Deadline: 6/9/17
IMPORTANT INFORMATION FOR ALL DEGREE SEEKING STUDENTS AND DEPENDENTS
Open Enrollment Periods for all Dependents and Students: If you have eligible Dependents in the Annual/Fall or, are a student in the fall and eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline your Dependents or you, will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year
*Spring, Spring/Summer and summer enrollment periods are for new incoming students and renewing students and their dependents only.
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.
IMPORTANT INFORMATION FOR ALL OPTIONAL PRACTICAL TRAINING STUDENTS AND DEPENDENTS
Open Enrollment Periods for all Dependents and Students: If you have eligible Dependents in the Annual/Fall or, are a student in the fall and eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline your Dependents or you, will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year
*Spring, Spring/Summer and summer enrollment periods are for new incoming students and renewing students and their dependents only.
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.
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 1-888-251-6253 or CONTACT US
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.
All international students on F-1 or J-1 visas are required to enroll in this insurance Plan at registration, unless proof of comparable coverage is furnished. International students in Optional Practical Training with no lapses in coverage may enroll in this plan on a voluntary basis.
Eligible students who do enroll may also insure their Dependents. Eligible Dependents are the student’s legal spouse and dependent children under 26 years of age.
U.S. citizens are not eligible for coverage as a student or a Dependent.
Begin the enrollment process by following the instructions below.
F1 & J1 Student/Dependent Enrollment Instructions
Annual/Fall Enrollment Deadline: 9/16/16 – CLOSED
*Spring Enrollment Deadline: 1/27/17
*Spring/Summer Enrollment Deadline: 1/27/17
*Summer Enrollment Deadline: 5/30/17
IMPORTANT INFORMATION FOR F1 AND J1 STUDENTS AND DEPENDENTS
Open Enrollment Periods for all Dependents and Students: If you have eligible Dependents in the Annual/Fall or, are a student in the fall and eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline your Dependents or you, will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year
*Spring, Spring/Summer and summer enrollment periods are for new incoming students and renewing students and their dependents only.
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.
Optional Practical Training /Dependent Enrollment Instructions
Annual/Fall Enrollment Deadline: 9/16/16 – CLOSED
*Spring Enrollment Deadline: 1/27/17
*Spring/Summer Enrollment Deadline: 1/27/17
*Summer Enrollment Deadline: 5/30/17
IMPORTANT INFORMATION FOR OPTIONAL PRACTICAL TRAINING STUDENTS AND DEPENDENTS
Open Enrollment Periods for all Dependents and Students: If you have eligible Dependents in the Annual/Fall or, are a student in the fall and eligible to purchase coverage and you choose not to enroll for coverage before the Annual/Fall Enrollment Deadline your Dependents or you, will not be eligible to enroll again until the start of the next fall unless you experience a Qualifying Life Event during the year
*Spring, Spring/Summer and summer enrollment periods are for new incoming students and renewing students and their dependents only.
TO ENROLL PLEASE CLICK ON THE FOLLOWING LINK:
Please be sure to select I AGREE when you are asked if you wish to share your Insurance Information with your school in order for your school to verify if you are in compliance with their Insurance Requirements.
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 1-888-251-6253 or CONTACT US
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.
Undergraduate Students (enrolled in 6 or more credit hours)
Are considered a hard waiver student. Hard waiver students are required to show proof of insurance by completing an online waiver or by enrolling in the Student Health Insurance Plan by the deadlines listed below.
Begin the enrollment process by following the instructions below.
Hard Waiver Student Enrollment Instructions
Enrollment Deadlines:
Annual Enrollment Deadline: 10/12/16
Spring/Summer Enrollment Deadline: 2/28/17
Summer Enrollment: 6/30/17 (Enrollment is voluntary. Online Enrollment will open on May 5, 2017. Must be enrolled in Summer I Session and taking 1 or more credits to be eligible.)
Please see “Enrollment Instructions for: Dependents and Voluntary Students” below:
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.
Voluntary Students
Graduate Student (enrolled in at least 1 credit hour)
Visiting Scholar (regardless of credit hours)
Are eligible to enroll on line or with a paper enrollment form. Please see “Enrollment Instructions for: Voluntary Students or Dependents” below.
Dependent Enrollment Instructions
Eligible students who do enroll may also insure their dependents.The effective date of your dependent’s coverage will be start date of the coverage period you enrolled in.
Please see the Enrollment Instructions below.
Enrollment Instructions for Voluntary Students or Dependents
PLEASE NOTE: Enrollment form, payment, and any other necessary forms must be received in our office by:
October 12, 2016 in order to be eligible to enroll for Annual Coverage.
February 28, 2017 in order to be eligible to enroll for Spring/Summer Coverage.
June 30, 2017 in order to be eligible to enroll for Summer Coverage. (Online Enrollment will open on May 5, 2017. Must be enrolled in Summer I Session and taking 1 or more credits to be eligible.)
Your effective date will be the start date of the coverage period for which you purchased.
(Voluntary Students Only)
Have your credit card ready!
OR
Enroll by Mail
DOWNLOAD STUDENT/DEPENDENT ENROLLMENT FORM – Coming Soon!
DOWNLOAD DEPENDENT ONLY ENROLLMENT FORM – Coming Soon!
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 *October 12, 2016, you or your dependents will not be eligible to enroll again until the next open enrollment period 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 28, 2017.
*For new dependents or new or renewing students in the Summer semester, your open enrollment deadline is June30, 2017. (Must be enrolled in Summer I Session and taking 1 or more credits to be eligible)
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.
Undergraduate Students (enrolled in 6 or more credit hours)
Are considered a hard waiver student. Hard waiver students are required to show proof of insurance by completing an online waiver or by enrolling in the Student Health Insurance Plan by the deadlines listed below.
Begin the enrollment process by following the instructions below.
Hard Waiver Student Enrollment Instructions
Enrollment Deadlines:
Annual Enrollment Deadline: 9/15/15
Spring/Summer Enrollment Deadline: 2/15/16
Summer Enrollment: 6/30/16 (Enrollment is voluntary. Online Enrollment will open on May 15, 2016. Must be enrolled in Summer I Session and taking 1 or more credits to be eligible.)
Please see “Enrollment Instructions for: Dependents and Voluntary Students” below:
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 2015-2016 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
Graduate Student (enrolled in at least 1 credit hour)
Visiting Scholar (regardless of credit hours)
Are eligible to enroll on line or with a paper enrollment form. Please see “Enrollment Instructions for: Voluntary Students or Dependents” below.
Dependent Enrollment Instructions
Eligible students who do enroll may also insure their dependents.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.
Please see the Enrollment Instructions below.
Enrollment Instructions for Voluntary Students or Dependents
PLEASE NOTE: Enrollment form, payment, and any other necessary forms must be received in our office by:
September 15, 2015 in order to be eligible to enroll for Annual Coverage.
February 15, 2016 in order to be eligible to enroll for Spring/Summer Coverage.
June 30, 2016 in order to be eligible to enroll for Summer Coverage. (Online Enrollment will open on May 15, 2016. Must be enrolled in Summer I Session and taking 1 or more credits to be eligible.)
Your effective date will be the start date of the coverage period for which you purchased.
Hard Waiver
Voluntary Students
If you are already enrolled and only need to enroll your dependents, you will need to create a “My Account”. Once you are logged in, you may enroll your dependents by clicking on the “Dependent Enrollment” button on the My Account page. This will allow you to enroll your dependents without being charged a second time for the student premium.
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, 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.
*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 15, 2016.
*For new dependents or new or renewing students in the Summer semester, your open enrollment deadline is June30, 2016. (Must be enrolled in Summer I Session and taking 1 or more credits to be eligible)
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
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.
Are automatically enrolled unless proof of comparable coverage is furnished.To provide proof, you must complete the on-line waiver process by the published deadline. Once you have completed the enrollment process, please print the confirmation page for your records.
Begin the enrollment process by following the instructions below.
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. Please review brochure for dependent eligibility.
Deadlines:
Annual Deadline Date – 9/9/15
Spring/Summer Deadline Date – 1/29/16
Summer 1 Deadline Date – 5/27/16
Summer 2 Deadline Date – 7/7/16
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 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 9, 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.
*For new dependents or new or renewing students in the Spring/Summer semester, your open enrollment deadline is January 29, 2016.
*For new dependents or new or renewing students in the Summer 1 semester, your open enrollment deadline is May 27, 2016.
*For new dependents or new or renewing students in the Summer 2 semester, your open enrollment deadline is July 7, 2016.
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
