All students attending Thomas Jefferson University are eligible to enroll in the student dental plan.
Enrollment Instructions
IMPORTANT NOTE: Students will not be required to submit payment for themselves, as the charge will be applied to your student account. Dependents must be enrolled at the time of primary
Open Enrollment Periods
If you 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, you, and your dependents, will not be eligible to enroll again until the start of the next Fall Semester unless you experience a “Qualifying Life Event” during the year.
*For new Students and their Dependents in the spring semester, before your Enrollment Deadline.
Cost
DENTAL INSURANCE
Annual – Enhanced
Student:
$375.24
Each Dependent:
$926.85
DENTAL INSURANCE
Annual – Basic
Student:
$180.49
Each Dependent:
$379.44
Coverage Effective: 8/14/22
Coverage Termination: 8/13/23
DENTAL ENROLLMENT DEADLINE: Students must submit enrollment by 9/16/22, to get a Annual effective date.
To speak with a UnitedHealthcare Dental Customer Service Representative please call 1-877-816-3596.
All pre-medical post-baccalaureate students who are registered at Bryn Mawr College.
Cost
Annual Coverage 5/21/22 – 5/20/23
Student
$525.00
ENROLLMENT DEADLINE: Students must submit enrollment and pay the full premium amount by 8/31/22.
Enrollment Instructions
Enroll Online
Enroll Online using your credit card. You must enroll by August 31, 2022, to be eligible for coverage effective 5/21/22 – 5/20/23.
Paper Enrollment
Enrollment form and full premium must be received by August 31, 2021, to be eligible for coverage effective 5/21/22 – 5/20/23.
Download the enrollment form below. (Coming Soon!)
Pre-Medical Dental Enrollment Form
Open Enrollment Periods
Open Enrollment Periods for Students: If you 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 August 31, 2022, you will not be eligible to enroll again until the start of next Fall.
ENROLLMENT DEADLINE: Students must submit enrollment and pay the full premium amount by 9/13/22.
Enrollment Instructions
Enroll Online
Enroll Online using your credit card. You must enroll by September 13, 2022, to be eligible for coverage effective 8/1/22– 7/31/23.
Open Enrollment Periods
Open Enrollment Periods for Students: If you 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 13, 2022, you will not be eligible to enroll again until the start of next Fall.
Full-time Domestic Graduate and Post-Baccalaureate Students
International Students
Cost
Annual Coverage 8/1/22 – 7/31/23
Student
$525.00
ENROLLMENT DEADLINE: Students must submit enrollment and pay the full premium amount by 8/31/22.
Enrollment Instructions
Enroll Online
Enroll Online using your credit card. You must enroll by August 31, 2022, to be eligible for coverage effective 8/1/22 – 7/31/23.
Paper Enrollment
Enrollment form and full premium must be received by August 31, 2022, to be eligible for coverage effective 8/1/22 – 7/31/23.
Download the enrollment form below. (Coming Soon!)
Undergraduate Dental Enrollment Form
Graduate Dental Enrollment Form
International Student Dental Enrollment Form
Open Enrollment Periods
Open Enrollment Periods for Students: If you 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 August 31, 2022, you will not be eligible to enroll again until the start of next Fall.
Plan information and an ID card will be sent to you in the first week of the effective date to the address you list on the enrollment form.
Open Enrollment Periods
Open Enrollment Periods for Students: If you 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 15, 2017, 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 students in the Spring/Summer semester, your open enrollment deadline is February 15, 2018.
Open Enrollment Periods for Students: If you 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 15, 2017, you will not be eligible to enroll again until the start of next Fall, unless you experience a Qualifying Life Event during the year.
Please Contact Us for cost and enrollment information as a Qualifying Life Event.
All full-time RowanSOM students, all full-time Postdoctoral Fellow Students and part-time RowanSOM students who participate in clinical experience as part of their educational programs.
Cost
Spring/Summer Coverage 1/1/18 – 7/31/18
Student
$284.93
ENROLLMENT DEADLINE: Students must submit enrollment and pay the full premium amount by 2/15/17.
Enrollment Instructions
Paper Enrollment
Enrollment form and full premium must be received by February 15th, 2018, to be eligible for coverage effective 2/15/18– 7/31/18.
Plan information and an ID card will be sent to you in the first week of the effective date to the address you list on the enrollment form.
Open Enrollment Periods
Open Enrollment Periods for Students: If you 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 15, 2017, 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 students in the Spring/Summer semester, your open enrollment deadline is February 15, 2018.
Welcome to the Student / Dependent Dental Enrollment Center! We are here to help make enrolling as easy and as painless as possible.
We suggest you review the Dental Benefit Flyer for your rates and effective dates before starting the enrollment process. The plan’s benefits and exclusions can be found in the Dental Benefit Flyer.
View your Dental benefit Flyer
STUDENT ELIGIBILITY If you are a…. undergraduate student with a minimum of 12 credit hours or an International or Graduate Student you are eligible to enroll online or with an enrollment form. Please see instructions below.
DEPENDENT ELIGIBILITY Students who do enroll may also insure their eligible dependents. Please see Instructions below.
STUDENT AND DEPENDENT ENROLLMENT INSTRUCTIONS
PLEASE NOTE: Enrollment Form, Payment and any other necessary forms, must be received in our office by:
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 through MY ACCOUNT. Please see below.)
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 Form.
