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.
2014 – 2015 School Year
PLEASE NOTE: If you do not enroll for the year in the fall semester, you will not be able to enroll later during the 2014-2015 school year without experiencing a “Qualifying Life Eventâ€. This means that the loss of coverage is no fault of your own or the policyholders (i.e. you get married or become too old to be on a family plan). You will be eligible to enroll within thirty days of this “Qualifying Life Event.â€Â After thirty days, you will no longer be eligible.
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ENROLLMENT INSTRUCTIONS FOR “HARD WAIVER†STUDENTS
If you are a……
Domestic undergraduate matriculated student, an international student or a Law School student you are considered a “hard waiver†student and you are required to purchase this plan, unless proof of comparable coverage is furnished.
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 IN COVERAGE ON-LINE:  (This link is for hard waiver students only) (Instructions are below for Voluntary Students & Dependent Enrollment.)
- Annual Enrollment Deadline: 9/13/14Â
- Spring/Summer Enrollment Deadline: 1/24/15 (For new incoming students only)
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, pleaseÂ
ENROLLMENT INSTRUCTIONS FOR “VOLUNTARY†STUDENTS
If you are a…
Domestic non-matriculating undergraduate degree-seeking student taking 6 credit hours or more on campus, or a Domestic Graduate Student taking 6 credit hours or more classes on campus, a Domestic PhD Student, or a PhD-Thesis Continuation Student you are eligible to enroll with an enrollment form.  Please see instructions below.
ENROLLMENT INSTRUCTIONS FOR “DEPENDENTSâ€
Eligible students who do enroll may also insure their Dependents. Please see instructions below.
TO ENROLL:
(Voluntary Students, Qualifying Life Event Students & Dependents only)
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.
- Annual Enrollment Deadline: 9/13/14
- Spring/Summer Enrollment Deadline: 1/24/15Â (For new incoming students only)
- Summer Enrollment Deadline:Â 5/30/15Â (For new incoming students only.)Â
The effective date of your coverage will be the date we receive the enrollment form with full payment and any necessary information, in our office. All forms must be received in our office prior to the enrollment deadline date. Forms received after the deadline date will be returned to sender.
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.
Summer Enrollment is completed with an enrollment form. For those eligible students, an enrollment form is e-mailed to you, but it must be in our office with check or money order by 5/30/15. If you have not received the enrollment form, please contact us below.
If you have any questions about the enrollment process, please call 800-505-4160 or
We are always happy to help in anyway.
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