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

2015 - 2016 School Year

HARD WAIVER STUDENT ENROLLMENT INSTRUCTIONS
If you are a…
International, Pharmacy or Nursing and College of Health Sciences 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: 9/6/15
  • 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.
If you have previously waived out of the insurance but your non-school sponsored coverage is being terminated due to a Qualifying Life Event and you are now looking to enroll in the Student Injury & Sickness plan:

Please
 CONTACT US
 

 

DEPENDENTS ENROLLMENT INSTRUCTIONS

Hard Waiver Students who do enroll may also insure their eligible dependents.

  • Annual Enrollment Deadline: 9/6/15
  • Spring/Summer Enrollment Deadline: 2/28/16
 

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.

  

If your Dependents non-school sponsored coverage is being terminated due to a Qualifying Life Event and you are now looking to enroll in the Student Injury & Sickness plan or If you have any questions about the enrollment process, please call 800-505-4160 or
 
 

 

Open Enrollment Periods

 

IMPORTANT INFORMATION: 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 6, 2015, your Dependents or 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 Dependents or new or renewing students in the spring semester, your open enrollment deadline is February 28, 2016.
 

Qualifying Life Event

 

If you did not enroll, or did not enroll your dependents (dependents of hard waiver or voluntary students) during your open enrollment period and have since lost coverage under your original plan, you or the dependents may qualify for a Qualifying Life Event, upon providing proof of involuntary loss of coverage and payment, within 30 days of losing coverage (example: marriage, divorce, loss of job, etc). The enrollment form, check or money order and the letter of creditable coverage, must be received within 30 days of losing coverage. After 30 days, the student or dependents will no longer be eligible to enroll in the plan, until fall of the following school year.

 

 



 

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

We are always happy to help in any way.