Forms and Links
Forms
Click to view and/or print the following:
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
2011 - 2012 Frequently Asked Questions - Provides answers to common questions about the 2011 - 2012 Student Health Insurance Plan
Summer 2013 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.