Forms (enroll, waive, cancel)
Insurance coverage periods are August 1 through July 31 each year.
ENROLLMENTS AND WAIVERS
Waive: 2013-2014 Medical Insurance Waiver [pdf]
Note: Under the current University Student Health Insurance Policy, Healthcare Marketplace plans (also known as state exchanges) do not qualify for waiver. Only employer plans or government sponsored plans are eligible. Marketplace plans are not considered government sponsored and are managed by individual insurance carriers. The policy, initially approved in 2003, is under review and may allow Healthcare Marketplace plans to qualify under the waiver policy beginning in fall 2014. Please revisit this website for information prior to the open enrollment period for student health insurance in June 2014.
Pro-rated enrollment forms (for enrollment outside of the Spring open enrollment period)
Prorated forms for the CURRENT insurance year (February 1 - July 31, 2014):
Enrollment across insurance years
Modify or cancel your enrollment decisions
Review the enrollment opportunities and deadlines that apply to enrollment changes.
Vision and dental enrollment decisions cannot be cancelled. If you enrolled yourself in the fall open enrollment period, and wish to enroll a spouse, domestic partner or children in the Spring, you have to pay the entire additional premium. There is no proration, and a change in enrollment is treated as another enrollment entirely.
Medical enrollment decisons can be modified when qualifying events take place, and require that a medical enrollment change form be completed.
Medical enrollment decisions can be cancelled if 1) the cancellation is done before April 1, and 2) no claims are paid or pending against the policy. A medical enrollment cancellation form is required. Students who must meet the university's insurance requirements must also complete a waiver form.