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 Coming Soon!
2012 - 2013 school year
Full-Time Students
If you are a……
registered undergraduate student taking 9 hours or more (3 for Summer) or a graduate student taking 6 hours or more (3 For Summer) you are eligible to enroll. Please see Enrollment Instructions below.
Dependents
Eligible students who do enroll may also insure their eligible dependents. Please see Enrollment Instructions below.
Enrollment Instructions
- enroll ONLINE
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 Use MY ACCOUNT.
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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.
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enroll by mail
Download an enrollment form and submit by mail using a check or money order. The mailing address is listed on the Enrollment Form.
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 your non-school sponsored coverage is being terminated and you are now looking to enroll:
Enrollment Forms