Enrollment
The Fall open enrollment period is 6/1/18 – 10/1/18.
The Spring/Summer open enrollment period is 11/1/18 – 2/28/19.
The Summer open enrollment period is 4/1/19 – 6/15/19
- Enrollment Form - 1st Year Medical Student Dependents
- Enrollment Form - 2nd, 3rd and 4th Year Student Dependents
- Enrollment Form - SON, SHP, GSBS, Undergraduate and Graduate Dependents
- Enrollment Form - Continuation
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.
- Student Turning Age 19 Qualifying Event Form (DENTAL ONLY) - Use only for a life event (aging off parent’s plan, marriage, newborn, adoption of child). Supporting documentation is required.