Student / Dependent Enrollment Center

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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


If you are a……
University of the Sciences in Philadelphia undergraduate student registered for 6 or more credits or a graduate students registered for 5 or more credit hours, you are required to purchase this plan unless proof of comparable coverage is furnished.

All international F-1 Visa students are required to purchase this plan. F-1 Visa students are automatically enrolled in this insurance plan at registration “Drop/Add” Period and the premium for coverage is added to their tuition billing.


 ENROLL NOW IN COVERAGE (Hard Waiver students only)
  • Annual Enrollment Deadline: 9/11/15
  • Spring/Summer Enrollment Deadline: 1/29/16 (For new incoming students only)
  • Summer Enrollment Deadline: Summer is Voluntary (For new incoming students only. Please see Life Change & Dependent Enrollment Instructions below.)

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 and would like to enroll, or if your non-school sponsored coverage is being terminated and you are now looking to enroll in the Student Injury & Sickness plan, please


Eligible students who do enroll may also insure their dependents. Eligible dependents are the spouse and unmarried children under 26 years of age who are not self-supporting. To enroll, please see Life Change & Dependent Enrollment Instructions below.

Dependent Enrollment Instructions

  • Annual Enrollment Deadline:   9/11/15
  • Spring/Summer Enrollment Deadline: 1/29/16   (For new incoming students only)
  • Summer Enrollment Deadline: (For new incoming students only)
To enroll: 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 we received the enrollment form with full payment and any necessary information in our office.



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 Fall Enrollment Deadline of *September 11, 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 January 29, 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. 

Please CONTACT US for cost and enrollment information as a Qualifying Life Event.

If you have any questions about the enrollment process, please call 1-800-505-4160 or

We are always happy to help in any way.