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Student Health Insurance Certification Forms
These forms are downloadable and available in Adobe Portable Document Format (PDF).
2023-2024 Academic Year
2024 Professional Practice Student Health Insurance Certification form
(Use for Fall '23, Spring '24, and Summer '24.)
2024 Graduate Assistant Student Health Insurance Certification form
(Use for Fall '23, Spring '24, and Summer '24 contracts.)
2022-2023 Academic Year
2023 Professional Practice Student Health Insurance Certification form
(Use for Fall '22, Spring '23, and Summer '23.)
2023 Graduate Assistant Student Health Insurance Certification form
(Use for Fall '22, Spring '23, and Summer '23 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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2023-05-04T08:33:33.245535-07:00
2023
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