Links & Forms

Opt Out of Student Insurance

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.

View and Print Your Insurance ID card

More information on ID cards may be found in the section of the FAQ entitled Insurance Card.

Fill Out the Enrollment Form

The Enrollment Form must be filled out during enrollment/change periods prior to adding dependents or printing off the Insurance Card. If you do not fill out the enrollment form, you will not show up as covered until the conclusion of the enrollment/change period. More information may be found in the section of the FAQ entitled Early Enrollments.

Download the Claim Information Form

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.

Find UnitedHealthcare Network Pharmacies

Use this link to search for approved pharmacies.

Extend the Student Insurance Into a Non-Registered Semester

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.

View Continuation of Coverage After Graduation

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.

Search United Healthcare’s Preferred Provider Network

Use this link to find a provider in the United Healthcare PPO, or to find if your provider is in-network..

Create Your Online United Healthcare MyAccount

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.


Download a detailed brochure of your policy.

GRADUATE STUDENTS
Undergraduate Insurance Plan

UNDERGRADUATE STUDENTS
Graduate Insurance Plan