|
|
|
|
Plan Coverage Dates
| Fall 2012 | 8/21/2012-1/11/2013 | | Spring 2013 | 1/12/2013-5/10/2013 | | Summer 2013 | 5/11/2013-8/20/2013 |
|
Enrollment/Change Periods
| Fall 2012 | 8/27/2012-9/25/2012 | | Spring 2013 | 1/14/2013-2/22/2013 | | Summer 2013 | 5/13/2013-6/24/2013 |
|
Continuation of Coverage Enrollment
| Fall 2012 | 7/23/2012-9/25/2012 | | Spring 2013 | 12/03/2012-2/22/2013 | | Summer 2013 | 4/15/2013-6/24/2013 |
|
Premiums Per Semester
Fall 2012 - Summer 2013
| | Undergrad | Graduate | | Student | $219 | $310 | | Spouse | $1003 | $1309 | | Children | $463 | $652 |
|
Premiums Per Semester
Fall 2011 - Summer 2012
| | Undergrad | Graduate | | Student | $219 | $310 | | Spouse | $901 | $1253 | | Children | $416 | $624 |
|
|
|
|
Student Insurance Forms require Acrobat Reader, a free download from Adobe Systems. Get it here.
All forms printed from this website must be mailed or faxed to the Student Insurance office. Students wishing to come in person will be required to use different forms. To avoid long lines in our office, it is strongly suggested that students submit the forms by mail or fax.
Please note that Extension of Coverage form is now only available under the Online Enrollment & Payment tab, during the Extension Enrollment Periods listed on the left panel of the site.
|
|
|
|
| |
| DotNetNuke® is copyright 2002-2013 by Perpetual Motion Interactive Systems Inc. |
|