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 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.

View your BROCHURE .   

2013 - 2014 School Year

IMPORTANT INFORMATION: Open Enrollment Periods for all eligible Students and dependents: If you or your dependent is eligible to purchase the annual coverage and you choose not to enroll before the Annual Enrollment Deadline, you or your dependent will not be eligible to enroll again until the following school year unless you experience a “Qualifying Life Event” during the year.

If you are a…
International, Pharmacy or Nursing Student you are automatically enrolled in this insurance plan unless proof of comparable coverage is furnished.  You can also enroll yourself now by clicking "Enroll Now" below to avoid receiving future reminders.
  • Annual Enrollment Deadline: 9/8/13
  • Spring/Summer Enrollment Deadline: 2/2/14


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. 

If you have previously waived out of the insurance but your non-school sponsored coverage is being terminated and you are now looking to enroll in the Student Injury & Sickness plan:


If you are a…
student taking 6 or more credit hours you are eligible to enroll online or with an enrollment form. Please see Voluntary Students & Dependent Enrollment Instructions Below.
Students who do enroll may also insure their eligible dependents.  Please see Voluntary Students & Dependent Enrollment Instructions Below.

  •  Annual Enrollment Deadline: 9/21/13
  • Spring/Summer Enrollment Deadline: 1/30/14 



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. Please see below.)




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 enroll online or the date we receive enrollment form and 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.