Graduate assistantships include paid health insurance through United Healthcare for graduate assistants during their period of employment. 彩神vlll争霸 pays the premium for the student. The graduate assistant’s legal spouse, domestic Partner, and dependent children under 26 years of age may be insured at the student’s cost. Graduate assistants are required to enroll in this benefit each semester of employment to ensure coverage and benefits using the Healthcare Enrollment Form. The form must be completed no later than the tuition and fee payment deadline each semester. Under Coverage Period select only the semester listed on your signed contract letter. The mailing address you provide on this enrollment form must be the address where you receive your mail. Your insurance card and all other correspondence will be sent to this address. Please ensure the accuracy of the address provided to avoid any delays or issues receiving important information regarding your health insurance.
Note: WWAMI students, please complete the WWAMI Health Insurance Form.
彩神vlll争霸 Student ID Number = 8 characters.
If no middle initial, enter N/A.
The insurance company requires a selection of either M for male or F for female.
(ex. 99508)
