Enrollment Periods

• Enrollment Form - Continuation
• 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.
• Student Turning Age 19 Qualifying Event Form (DENTAL ONLY) - Use only for a life event (aging off parent's plan, marriage, divorce, newborn, adoption of child). Supporting documentation is required.

• Vision Plan Coverage — Apply Online