Student / Dependent Enrollment

 

Welcome to the Student / Dependent Enrollment Center! We are here to help make enrolling as easy and as painless as possible.

We suggest you review your brochure and rates before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusion towards the back.

View your brochure

2013 - 2014 School Year Coming Soon!

2012 - 2013 School Year

STUDENT ENROLLMENT INSTRUCTIONS
If you are a……
student taking 12 or more credit hours, you are required to purchase this insurance Plan, unless proof of comparable coverage is furnished. Please contact your school to enroll.

  • Annual Fall:  9/30/12
  • Spring/Summer:  2/1/13
  • Summer: Contact your school

 


 

DEPENDENT ENROLLMENT INSTRUCTIONS
Students who do enroll may also insure their eligible dependents.  You must use MY ACCOUNT or an Enrollment Form to enroll them. Please See instructions below:

 

  • MY ACCOUNT


    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.

 


 

  • ENROLL BY MAIL
 
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 coverage will be the date you enrolled on-line or the date we received the enrollment form with full payment in our office.)

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

We are always happy to help in anyway.