Links & Forms
The Enrollment Form must be filled out during enrollment/change periods prior to adding dependents or printing off the Insurance Card. More information may be found in the section of the FAQ entitled Enrollments.
Note: The link will only function during a semester’s enrollment/change period. The Summer 2017 period begins May 12th. More information on opting out may be found in the section of the FAQ entitled Opting out of Student Insurance, as well as by using the “opting out” button above.
More information on ID cards may be found in the section of the FAQ entitled Insurance Card.
The Claim Information Form is often requested by United Healthcare after a student has been to the hospital, and a claim has been submitted. More information may be found in the FAQ under Filing Claims.
Use this link to search for approved pharmacies.
THE EXTENSION FORM FOR SUMMER 2017 IS NOW CLOSED.
For more information please see the section of the FAQ entitled Extensions/Continuations of Coverage. Extensions may only be filed by students who are returning to class the following semester. For continuations of coverage for graduating students, see below.
Forms are located under the appropriate “EXPLORE POLICY” link, for either Grads or Undergrads. For more information please see the section of the FAQ entitled Extensions/Continuations of Coverage.
Use this link to find a provider in the United Healthcare PPO, or to find if your provider is in-network..
This is where you will have access to your personal information, claims status, and also where you will add dependents to your coverage. More information is available in the FAQ section entitled Adding Dependents.