Skip over navigation

Forms and Links

Forms

Click to view and/or print the following:

2013 - 2014 Student Health Insurance Plan Description - Brochure which contains detailed information on the 2013 - 2014 plan benefits, eligibility and other important information

2013 - 2014 Frequently Asked Questions - Provides answers to common questions about the 2013 - 2014 Student Health Insurance Plan

2012-2013 Student Health Insurance Plan Description - Brochure which contains detailed information on the 2012 - 2013 plan benefits, eligibility and other important information

2011-2012 Student Health Insurance Plan Description - Brochure which contains detailed information on the 2011 - 2012 plan benefits, eligibility and other important information

Summer 2013 Dependent Enrollment Form

2013 - 2014 Dependent Enrollment Form

Consolidated Health Plans Medical Claim Form

Express-Scripts Prescription Drug Claim Form

Links

Health Services - Provides a link to the Health Services website.

How To Access Plan Benefits - Provides information on referral requirements.

Leave of Absence - Provides information on eligibility and enrollment procedures for students who wish to continue insurance coverage while on an approved leave of absence.

Dependent Enrollment - Provides information on how insured students may enroll their eligible dependent(s) in the Student Health Insurance Plan.

Contact Information & Links - Provides a list of contacts for any question you may have about student health insurance pertaining to enrollment, eligibility, benefits, prescriptions, claims, and provider networks.