The Summer open enrollment period is 5/1/20 – 6/17/20
- Qualifying Event Enrollment Form - Use only for a life event (aging off parent's plan, marriage, divorce, newborn, adoption of child). Supporting documentation is required.
Important Information About Dependent Enrollment
Any dependents enrolled in the Medical Insurance Plan must be eligible for coverage. The carrier may audit dependents to verify their eligibility. If your dependent(s) is(are) selected for audit, the carrier will email you with instructions to submit the documents needed to verify your dependent(s) eligibility. By continuing dependent enrollment you confirm that you have read the eligibility requirements for dependents, that your dependent(s) is(are) eligible for coverage, and that you will submit documentation required to verify your dependent(s) eligibility if audited by the carrier. The eligibility requirements may be found in the brochure on the Benefits page of this website.
Add-On Coverage Options
These services are not administered by Academic HealthPlans.