The final deadline to enroll dependents for the 2025-2026 policy period was September 30, 2025. This form is no longer available.

New Spring Students: The spring 2025 Dependent Enrollment Form will open when student enrollment opens in early December 2025.

If your dependent has experienced a qualifying life event (ie. loss of other coverage, recent marriage, birth, etc.) they may be eligible to enroll outside of the open enrollment period. Please contact University Health Plans with any questions regarding dependent enrollment or qualifying event enrollment at info@univhealthplans.com or 833-251-1129.