The waiver form is not available.
Student Health Plan
- Waiver Form
- Qualifying Event Enrollment Form
-
CareConnect –
Behavioral Health Hotline - Provider Search
- 1095-B Form
- Insurance ID Card
- Insurance Mobile App
- Claim Status
- Claim Form
Optional Plans
Coming Soon!
No benefit changes were made from the 2018-2019 policy to the 2019-2020 policy. Therefore, to review benefit information for 2019-2020, please click on the 2018-2019 brochure.
The 2019-2020 Brochure will be available here by Summer 2019.