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
View your school’s BROCHURE
- Hard Waiver Student Eligibility
- Hard Waiver Student Enrollment Instructions
- Voluntary Students
- Dependent Enrollment Instructions
- Enrollment Instructions for Voluntary Students or Dependents
- Open Enrollment Periods
- Qualifying Life Event
Hard Waiver Student Eligibility
- 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.
- 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.
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 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 June 30, 2017. (Must be enrolled in Summer I Session and taking 1 or more credits to be eligible)
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.
2015 – 2016 Enrollment Information
View your school’s BROCHURE
- Hard Waiver Student Eligibility
- Hard Waiver Student Enrollment Instructions
- Voluntary Students
- Dependent Enrollment Instructions
- Enrollment Instructions for Voluntary Students or Dependents
- Open Enrollment Periods
- Qualifying Life Event
Hard Waiver Student Eligibility
- 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.
- 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.
Have your credit card ready!
OR
Enroll by Mail
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 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 June 30, 2016. (Must be enrolled in Summer I Session and taking 1 or more credits to be eligible)
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.
