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Rutgers Postdoctoral Fellows, Graduate Fellows, and Less Than Full Appointment Partial TAs-GAs

2025-2026 Student Health Insurance Plan
DEPENDENT ENROLLMENT

 

Students who have confirmed their own enrollment in the Rutgers Postdoctoral Fellows, Graduate Fellows, and Less Than Full Appointments Partial TAs-GAs Student Health Insurance Plan (SHIP) may use this form to add eligible dependents to the plan. Eligible dependents are the spouse, domestic partner, or child(ren) of a Postdoctoral Fellow, Graduate Fellow, or a Less Than Full Appointment Partial TA-GA student. Students who are not currently enrolled in the SHIP may not purchase coverage for their dependents.

The Fall Dependent Enrollment Deadline is September 30, 2025.


To continue the dependent enrollment process, please fill out the required fields below:

Asterisk (*) denotes required field

STUDENT INFORMATION

 (MM/DD/YYYY)