Geneva College
STUDENT HEALTH INSURANCE PLAN
Annual Enrollment Form
2024-2025 Academic Year
Although students are automatically charged on their tuition statement for the SHIP, student information is not transferred to the insurance company until after the deadline unless an enrollment form is submitted.
Students may also enroll their lawful spouse and dependent children up to age 26. When dependents are enrolled, the dependent premium is paid to UHP via credit card.
Your student ID number is 7 digits and does not include any leading zeros.
TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
