University of Medicine & Dentistry of New JerseySTUDENT HEALTH INSURANCE PLAN
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| Fall Term Enrollment: | August 15, 2009 |
| Winter Term Enrollment: | January 15, 2010 |
| Spring Term Enrollment: | March 15, 2010 |
| Summer Term Enrollment: | June 15, 2010 |
Payment Instructions: Please mail completed form and premium to: University Health Plans, One Batterymarch Park, Quincy, MA 02169-7456. Coverage will become effective on the date the completed application and premium are received at University Health Plans. Please note Credit Card payments are not accepted. Payment should be made in the form of a Personal Check, US Bank Check or US Money Order payable to University Health Plans.
NOTE: Annual coverage for dependents may be paid on a Quarterly Basis (Fall, Winter, Spring and Summer). A reminder notice will be issued by University Health Plans, Inc., prior to the next payment due date. However, it should be noted that in order to have continuous coverage semester-by-semester, payment of the next quarterly premium must be received no later than the start date of the term for which coverage is purchased. Please see below for dependent premium payment due dates:
If the Quarterly Installment is received after the above payment deadline date, coverage will cease as of the last day of the previous term of coverage. Please note that timely payment of installments is the responsibility of the insured student. UMDNJ, University Health Plans, Inc., Aetna Student Health, or Aetna will not be held liable in the event of late payment, and subsequent cancellation of coverage. |
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Please contact University Health Plans at info@univhealthplans.com or (800) 437-6448 if you have any questions about enrolling yourself or dependents in the plan.
