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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.

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2015-2016 Enrollment Information

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View your school’s BROCHURE

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

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International Students

International students are automatically enrolled in the insurance plan at registration. Premium for coverage is added to your tuition building. International students do not need to complete the enrollment process below.

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Hard Waiver Student Eligibility

• Full-time undergraduate students who are registered for classes

Are required to purchase this plan unless proof of comparable coverage is furnished.

Begin the enrollment process by following the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 7/21/15
• Spring/Summer Enrollment Deadline: 2/1/16 (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.

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Dependent Enrollment Instructions

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.To enroll, please see Brochure for Dependent Eligibility.  Please see Dependent Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 7/21/15
• Spring/Summer Enrollment Deadline: 2/1/16 (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.

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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 *July 21, 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 1, 2016.

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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

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

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Hard Waiver Student Eligibility

• Traditional undergraduate students
• Resident students
• Student Athletes
• International students (including ELA and CIP students)

Are considered Hard Waiver Students and are required to purchase this insurance plan at registration unless proof of comparable coverage is furnished.

Begin the enrollment process by following the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/30/15
• Spring/Summer Enrollment Deadline: 2/15/16 
• Summer Enrollment Deadline: 6/13/16

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.

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Dependent Enrollment Instructions

Your school does not offer dependent enrollment with your plan.

 

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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 30, 2015, 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 or renewing students in the Spring semester, your open enrollment deadline is February 15, 2016.

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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.

---

 

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

• Full-Time undergraduate student enrolled in 12 credit hours or more
• International Student

Are automatically enrolled in this insurance plan unless proof of comparable coverage is furnished.

Automatic enrollment takes places after the fall enrollment deadline. To avoid future reminders or to use you insurance before this date, please follow the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/11/16
• Spring/Summer Enrollment Deadline: 2/11/17 

Enroll Now (Link will be active 7/1/16)

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.

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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: 9/11/16
• Spring/Summer Enrollment Deadline: 2/11/17

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 us.

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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 11, 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 11, 2017.

---

 

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

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

---

Hard Waiver Student Eligibility

• Full-time traditional undergraduates
• Full-time international students

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: 8/31/15
• Spring/Summer Enrollment Deadline: 2/28/16 

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 see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 8/31/16
• Spring/Summer Enrollment Deadline: 2/28/16 

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.

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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 31, 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 28, 2016.

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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

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

---

Hard Waiver Student Eligibility

• Full-time undergraduate student registered for 12 or more credits

Are required to purchase this plan, unless proof of comparable coverage is furnished.

Begin the enrollment process by following the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/7/15
• Spring/Summer Enrollment Deadline: 2/5/16 (New Incoming Students Only)

To enroll now click link below to visit the myGCC Portal.

• Go to the Student menu,
• Open the Health Insurance portal,
• Make your selection to either purchase the College plan or enter your current, valid health insurance information.

Enroll Now

• Hard Waiver students only (see eligibility above)
• Must be logged on as the student not as the parent

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 legal spouse and dependent children under 26 years of age. Please see Dependent Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 9/7/15
• Spring/Summer Enrollment Deadline: 2/5/16 (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.

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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 7, 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 5, 2016.

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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

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

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Hard Waiver Student Eligibility

• All full-time undergraduate students taking 12 credit hours or more
• All full-time graduate students taking 9 credit hours or more
• All Petrocelli Students
• Any graduate student designated as full time by their department
• All international students regardless of credit hours (including English as a Second Language, American Studies Program, Exchange Students, and visiting faculty/scholars)
• And those working as an intern

Are automatically enrolled in this plan unless proof of comparable coverage is furnished.

Begin the enrollment process by following the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 10/15/15
• Spring/Summer Enrollment Deadline: 2/28/16 (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. Any student that wishes to use the medical insurance prior to the deadline, an on-line enrollment form must be filled out.

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.

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Dependent Enrollment Instructions

Your school does not offer dependent enrollment with your plan.

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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 *October 15, 2015, you will not be eligible to enroll again until the start of next Fall unless you experience a “Qualifying Life Event” during the year.

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

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

---

Hard Waiver Student Eligibility

• Full-time degree seeking undergraduates
• Full-time international students

Are required to purchase this plan unless proof of comparable coverage is furnished:

Begin the enrollment process by following the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Annual: 8/31/15

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. . Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 8/31/15

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 31, 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

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
  

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Hard Waiver Student Eligibility

• Undergraduate Students taking 12 or more credit hours (at least 7 credit hours for a student with a documented disability)
• Post Bachelor Pre-Med Students taking 12 or more credit hours (at least 7 credit hours for a student with a documented disability)
• International graduate taking 9 or more credits

Are required to purchase the college health insurance plan unless proof of comparable coverage is furnished through the online waiver site. If you wish to waive the college health insurance, please visit the Waive Your Schools Insurance page.

Automatic enrollment takes places after the fall enrollment deadline. To avoid future reminders or to use you insurance before this date, please follow the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/30/16
• Spring/Summer Enrollment Deadline: 2/28/17 (For new incoming spring students and students not enrolled full-time at Goucher in Fall 2016 only)

If you want the college health insurance coverage, please click on ‘ENROLL NOW’ to activate your enrollment now. Once you enroll you will be sent your insurance ID card. Students who do not waive or enroll in the plan will be automatically enrolled and charged the insurance premium once the waiver deadline has passed. We strongly suggest that you either enroll or waive the insurance prior to the deadlines listed above.

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: 9/30/16
• Spring/Summer Enrollment Deadline: 2/28/17 (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 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.

*For new dependents or new or renewing students in the Spring semester, your open enrollment deadline is February 28, 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 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

• Full-Time Traditional Undergraduate student enrolled in 12 or more credit hours

Are considered Hard Waiver Students and are are automatically enrolled in this insurance plan unless proof of comparable coverage is furnished.

Automatic enrollment takes places after the fall enrollment deadline. To avoid future reminders or to use you insurance before this date, please follow the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/2/16
• Spring/Summer 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 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.

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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: 9/2/16
• Spring/Summer Enrollment Deadline: 1/13/17 

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 us.

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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 2, 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 January 13, 2017.

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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.

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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.

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2015-2016 Enrollment Information

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View your school’s BROCHURE

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

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Hard Waiver Student Eligibility

• Undergraduate student enrolled in 12 or more credit hours

Are automatically enrolled in this insurance plan unless proof of comparable coverage is furnished.  No action needs to be taken in order to enroll in the University-sponsored plan.

Automatic enrollment takes places after the fall enrollment deadline. To use you insurance before this date please follow the instructions below.

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Hard Waiver Student Enrollment Instructions

Enrollment Deadlines:

• Fall Enrollment Deadline: 9/28/15
• Spring/Summer Enrollment Deadline: 2/16/16 

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 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.

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Dependent Enrollment Instructions

Hard Waiver Students who do enroll may also insure their eligible dependents.  Please see the Enrollment Instructions below.

Deadlines:

• Annual Enrollment Deadline: 9/28/15
• Spring/Summer Enrollment Deadline: 2/16/16 

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.

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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 28, 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 16, 2016.

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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.

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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