Request for Student Health Insurance Coverage

Student health insurance is only available to full-time students and those part-time students who are completing their last semester of a degree program and do not need full-time credit load to meet their degree requirements.

Use this form if:

1. You are a full-time student and were not automatically billed for coverage; or,
2. You filed a waiver based on insurance that no longer covers you; or,
3. You are a part-time student completing your last semester of studies; or,
4. You are a student who needs coverage to begin before the start of the standard semester

For further information and plan details, please the Health Services website.