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Student Health Insurance Certification Forms
These forms are downloadable and available in Adobe Portable Document Format (PDF).
2019-2020 Academic Year
2020 Professional Practice Student Health Insurance Certification form
(Use for Fall '19, Spring '20, and Summer '20.)
2020 Graduate Assistant Student Health Insurance Certification form
(Use for Fall '19, Spring '20, and Summer '20 contracts.)
2020-2021 Academic Year
2021 Professional Practice Student Health Insurance Certification form
(Use for Fall '20, Spring '21, and Summer '21.)
2021 Graduate Assistant Student Health Insurance Certification form
(Use for Fall '20, Spring '21, and Summer '21 contracts.)
Eligibility
Benefits
Cost
How to File a Claim
Optional Plans
Print Student Health Insurance ID Card
FAQ
Should I Keep or Cancel Student Health Insurance?
Certification Forms
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2020-05-22T11:30:07.846-05:00
2020
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