Form preview

Get the free Graduate Student Health Insurance Program Enrollment and Change Form - unc

Get Form
This document serves as an enrollment and change form for graduate students participating in the UNC-CH Graduate Student Health Insurance Program for the plan year 2007-2008. It includes personal
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign graduate student health insurance

Edit
Edit your graduate student health insurance form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your graduate student health insurance form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing graduate student health insurance online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Click on Start Free Trial and register a profile if you don't have one yet.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit graduate student health insurance. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
It's easier to work with documents with pdfFiller than you could have ever thought. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out graduate student health insurance

Illustration

How to fill out Graduate Student Health Insurance Program Enrollment and Change Form

01
Obtain the Graduate Student Health Insurance Program Enrollment and Change Form from your university's website or student support office.
02
Fill in your personal information, including your name, student ID, and contact information in the designated sections.
03
Indicate your enrollment status (e.g., full-time or part-time) and program details as required.
04
Choose the appropriate options for health insurance coverage, specifying whether you are enrolling for the first time or making a change to existing coverage.
05
If applicable, provide information for dependents that you wish to enroll in the health insurance plan.
06
Review the terms and conditions of the health insurance policy and check any necessary boxes to confirm your understanding and acceptance.
07
Sign and date the form at the bottom, ensuring that all required signatures are present.
08
Submit the completed form to the designated health insurance office (either physically or electronically) by the specified deadline.

Who needs Graduate Student Health Insurance Program Enrollment and Change Form?

01
Graduate students who are enrolled in universities offering a health insurance plan.
02
Students who wish to enroll in a health insurance program or make changes to their existing policy.
03
International students who may be required to have health insurance coverage.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
43 Votes

People Also Ask about

Students applying for their own health insurance plan can generally expect to pay a national average of $158 per month* for a short-term plan or $231 per month* for a major medical plan.
Know what financial protection you may have through your school. The Med Plus Advantage (MPA) program provides quality insurance to about 1 in 3 medical students in the U.S, through their medical school.
The two hundred per month is in itself not too bad, however you need to consider the deductible, which must be met before the insurance kicks in.
College and graduate students can qualify for subsidized insurance through the ACA Marketplace/exchange even if they're eligible for student health insurance offered by their college or university – as long as they don't enroll in the university's plan.
You may change the plan in which you are enrolled or from high to low option coverage during the annual Open Season for electing coverage. If you need assistance with your health benefits enrollment, call 1 (888) 767-6738 , to change your enrollment or if you need to speak with a Customer Service Specialist.
The coverage costs $2,924 a year at public colleges and $3,874 a year at private schools, on average, ing to an industry survey of prominent schools in the 2023-24 academic year. And here's the thing: Many students don't need it.
You may waive the SHIP/Aetna plan through the Aetna website before the third week of the fall semester — you must submit a waiver every year. If you are starting as a new student in the spring semester, submit the waiver before the third week of the spring semester in your first year, and then annually each fall.
Is $200 a Month a lot for Health Insurance? Given that the average monthly premium for individual coverage through employer-sponsored plans is about $703 and around $477 for marketplace plans, $200 a month is relatively low for health insurance in the USA.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Graduate Student Health Insurance Program Enrollment and Change Form is a document used by graduate students to enroll in or make changes to their health insurance coverage under a university-sponsored health plan.
Graduate students who wish to enroll in the health insurance program or need to make changes to their existing coverage are required to file this form.
To fill out the form, students must provide their personal information, select the type of enrollment or change required, and submit any necessary documentation as specified by the university's health services.
The purpose of the form is to facilitate the enrollment process for students into the health insurance program and to manage any changes to their existing coverage efficiently.
The form must include the student's full name, student ID, contact information, relevant dates, insurance selection, and any supporting documentation required for changes or enrollment.
Fill out your graduate student health insurance online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.