Forms

Enrollment Form

The Enrollment Form must be filled out during enrollment/change periods prior to adding dependents or printing off the Insurance Card. https://studentcenter.uhcsr.com/illinois

Waiver Form

This form must be completed and submitted during a semester's Enrollment Period, if you wish to opt-out of the Student Health Insurance plan.  Refer to /opting-out for more details.   https://studentcenter.uhcsr.com/illinois

Extension Form

If you are not enrolled for classes for an individual Semester and wish to extend your coverage, you can purchase an Extension.  You must have been covered during the previous Semester to be able to purchase the Extension. 

Extension Form 

Continuation of Coverage 

If you were enrolled in the Student Health Insurance plan, and wish to continue coverage after graduation, you can purchase coverage for up to 90 days (30-day increments). Please login to your My Account through the UHCSR website. https://www.uhcsr.com/school-page

Reinstatement

Occasionally students can find themselves without the insurance coverage they need.  Whether you have lost your previous coverage under a parent's plan, or are simply not registering for a given semester (e.g. summer),  you have the ability to reinstate/extend your student coverage. Please download and complete the attached form, and forward via email to the Student Health Insurance Office:  insure@illinois.edu

ID Card

United Health Care Student Resources will not automatically send you an insurance ID card.  You must create a MyAccount through United Healthcare Student Resources, and from there you will be able to print an ID card. https://www.uhcsr.com/school-year

Undergraduate Policy Brochure

These documents will provide a detailed overview of your student coverage for the 2020-2021 Academic Year

Graduate Policy Brochure

These documents will provide a detailed overview of your student coverage for the 2020-2021 Academic Year

RX Drug List July 2020

These documents will provide you with a list of medications and the coverage provided by United Health Care.

 

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