UIC GLOBAL FIRST YEAR
STUDENT HEALTH INSURANCE PLAN

Spring Enrollment Form For Progressed Students Only

This enrollment form is for students who have completed their UIC Global program and have progressed into the University.  If you are a NEW UIC Global First Year student for Spring 2023, you will be automatically enrolled and no action is necessary. 


ELIGIBILITY: UIC Global students who have completed their program with UIC Global and progressed into the University Of Illinois Chicago (UIC). Students who transfer to a different college/university, remain in the US but are not attending the University Of Illinois Chicago (UIC), or return to their home country after completion of their UIC Global program are not eligible for the UIC Global SHIP. Upon submission of your enrollment form, your status will be confirmed. If you are not eligible for the UIC Global SHIP you will be notified via email to the email address provided on your enrollment form, your enrollment will not be processed and a refund of premium will be issued.

TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

The deadline to submit the enrollment form is December 5, 2022

 (MM/DD/YYYY)