The Summer open enrollment period is 04/03/19 – 06/03/19.
Domestic and Voluntary International Students
International F1 & J1 Visa Holder Students
- Enrollment Form - Continuation - If you were previously enrolled as a student and are no longer eligible for the student health plan. You must complete within 30 days of the termination of the coverage, and must have been previously covered for a minimum of three months
Qualifying Event Forms
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent’s plan, marriage, divorce, newborn, adoption of child). Supporting documentation is required.