Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in Dental Insurance.
We suggest you review the brochure for your rates and effective dates before starting the enrollment process.
2016-2017 Enrollment Information
Student Eligibility
All full-time medical students and any student enrolled in a CMSRU approved alternate program of study.
Dependent Eligibility
Eligible students who do enroll may also insure their Dependents. Eligible Dependents include a spouse and/or dependent children up to age 26.
Please see the Enrollment Instructions below to enroll your Dependents.
Cost
| Annual Coverage 8/1/16 – 7/31/17 |
| Student |
$330.00 |
| Student + 1 Dependent |
$622.00 |
| Student + 2 or more Dependents |
$977.00 |
Student & Dependent Enrollment Instructions
PLEASE NOTE: ENROLLMENT DEADLINE – Students must submit the online enrollment form and pay the full premium amount via credit card by the following date:
- July 15, 2016, to be eligible for coverage effective 8/1/16 – 7/31/17
ENROLL ONLINE
(You must use your credit card – the charge will not be added to your Cooper Medical School of Rowan University Term Bill)
PRIMARY CARE DENTIST (PCD): This plan is a Dental HMO plan. You must choose a dentist who participates in the DeltaCare plan as your PCD. A list of dentists (and their provider ID numbers) can be found by clicking the “Participating Provider ” box on the left of this page. This plan is a DeltaCare plan.
Plan information and an ID card will be sent to you on the first week of the effective date to the address you list below.
Open Enrollment Periods
Open Enrollment Periods for 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 July 15, 2016, you will not be eligible to enroll again until the start of next Fall.
Welcome to the Student & Dependent Enrollment Center! Here you will find all the necessary tools to enroll in Dental Insurance.
We suggest you review the brochure for your rates and effective dates before starting the enrollment process.
2016-2017 Enrollment Information
Student Eligibility
- Full-time RowanSOM students
- Full-time Postdoctoral Fellow students
- Part-time RowanSOM students (who participates in clinical experience as part of their educational programs)
Dependent Eligibility
Eligible students who do enroll may also insure their Dependents. Eligible Dependents include a spouse and/or dependent children up to age 26.
Please see the Enrollment Instructions below to enroll your Dependents.
Cost
| Annual Coverage 8/1/16 – 7/31/17 |
| Student |
$330.00 |
| Student + 1 Dependent |
$622.00 |
| Student + 2 or more Dependents |
$977.00 |
Student & Dependent Enrollment Instructions
PLEASE NOTE: ENROLLMENT DEADLINE – Students must submit the online enrollment form and pay the full premium amount via credit card by the following date:
- July 15, 2016, to be eligible for coverage effective 8/1/16 – 7/31/17
ENROLL ONLINE
(You must use your credit card – the charge will not be added to your Rowan University School of Osteopathic Medicine)
PRIMARY CARE DENTIST (PCD): This plan is a Dental HMO plan. You must choose a dentist who participates in the DeltaCare plan as your PCD. A list of dentists (and their provider ID numbers) can be found by clicking the “Participating Provider ” box on the left of this page. This plan is a DeltaCare plan.
Plan information and an ID card will be sent to you on the first week of the effective date to the address you list below.
Open Enrollment Periods
Open Enrollment Periods for 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 July 15, 2016, you will not be eligible to enroll again until the start of next Fall.
Welcome to the Student / Dependent Dental Enrollment Center! We are here to help make enrolling as easy and as painless as possible.
We suggest you review the Dental Benefit Flyer for your rates and effective dates before starting the enrollment process. The plan’s benefits and exclusions can be found in the Dental Benefit Flyer.
View your Dental benefit Flyer
2014 – 2015 School Year
STUDENT ELIGIBILITY If you are a…. undergraduate student with a minimum of 12 credit hours or an International or Graduate Student you are eligible to enroll online or with an enrollment form. Please see instructions below.
DEPENDENT ELIGIBILITY Students who do enroll may also insure their eligible dependents. Please see Instructions below.
STUDENT AND DEPENDENT ENROLLMENT INSTRUCTIONS
PLEASE NOTE: Enrollment Form, Payment and any other necessary forms, must be received in our office by:
- September 28, 2014 to be eligible for Annual
Have your credit card ready! (if you are already enrolled and only need to enroll your dependents, you will not be able to use this method. You must enroll your dependents with an enrollment form or through MY ACCOUNT. Please see below.)
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 Form.
If you have any questions about the enrollment process, please call 800-505-4160 or
