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This document is an application form for the University of Wisconsin-Madison Student Health Insurance Plan, gathering personal information and choice of coverage for students and J-1 scholars.
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How to fill out U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N
01
Obtain the U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N form from the university's health services website or office.
02
Read all instructions carefully before starting the application process.
03
Fill out personal information including your name, student ID, and contact details.
04
Provide information about your academic program and enrollment status.
05
Indicate any previous insurance coverage and provide the details as required.
06
Fill in the specific health coverage needs based on your individual circumstances.
07
Review all information for accuracy and completeness.
08
Sign and date the application form where indicated.
09
Submit the completed application form to the designated office or online portal specified in the instructions.
Who needs U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
01
Any student enrolled at U W - M AD I S O N who wants to enroll in the Student Health Insurance Plan.
02
Students who do not have alternative health insurance coverage and need health benefits.
03
International students who may require health insurance to comply with visa regulations.
04
Graduate students who are not covered by their parent's or guardian's health insurance.
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What is U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
The UW-Madison Student Health Insurance Plan application is a document that students must complete to enroll or waive the university's health insurance coverage designed for students.
Who is required to file U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
All enrolled students at UW-Madison are required to file the application unless they provide proof of comparable alternative health insurance.
How to fill out U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
To fill out the application, students must provide their personal details, student ID, and other required information and submit it online through the university's designated portal.
What is the purpose of U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
The purpose of the application is to ensure that all students have access to health insurance, either through the university plan or by waiving it with proof of other coverage.
What information must be reported on U W - M AD I S O N S T U D E N T H E AL T H I N S U R AN C E P L A N AP P L I C AT I O N?
Students must report personal demographic information, insurance coverage details if opting to waive the university plan, and any relevant health-related information as required.
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